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Individual

JEISY MITRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
561 TILTON RD, NORTHFIELD, NJ 08225-1217
(609) 267-5656
Mailing address
327 UPAS AVE, GALLOWAY, NJ 08205-4684
(609) 816-0523

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC06180500
NJ

Other

Enumeration date
11/19/2019
Last updated
03/31/2023
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