Individual
JESSICA DE SOUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
659 RIVER RD, RAHWAY, NJ 07065-3524
(908) 838-3080
Mailing address
659 RIVER RD, RAHWAY, NJ 07065-3524
(908) 838-3080
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37FA00029700
NJ
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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