Individual
JACLYN MARIE TOMASETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
121 BECKS WOODS DR STE 100, BEAR, DE 19701-3853
(302) 797-1655
Mailing address
161 BECKS WOODS DR, BEAR, DE 19701-3833
(302) 797-1655
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
Q1-0001719
DE
101YM0800X
Mental Health Counselor
44SC05855500
NJ
Other
Enumeration date
09/14/2020
Last updated
03/02/2021
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