Individual
JILLIAN MARGARET THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7189
Mailing address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7189
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SC05864500
NJ
Other
Enumeration date
02/10/2020
Last updated
08/13/2021
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