Individual
JACQUELINE ANSBROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
27 MAIN ST, EATONTOWN, NJ 07724-3498
(585) 576-3442
Mailing address
51 MICHIGAN AVE, PORT MONMOUTH, NJ 07758-1131
(585) 576-3442
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC06165600
NJ
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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