Individual
JESSE KYLE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
671 HOES LN W, PISCATAWAY, NJ 08854-8021
(855) 515-5700
Mailing address
671 HOES LN W, PISCATAWAY, NJ 08854-8021
(786) 478-8777
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05823200
NJ
Other
Enumeration date
07/24/2019
Last updated
11/27/2023
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