Individual
JAMIE WASSERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94 VALLEY RD, MONTCLAIR, NJ 07042-2211
(917) 783-5862
Mailing address
125 CHESTNUT ST, MONTCLAIR, NJ 07042-2943
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05328400
NJ
Other
Enumeration date
11/16/2009
Last updated
11/16/2009
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