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Individual

JESSICA MARIA FLORESTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, CST-S

Contact information

Practice address
101 E MAIN ST STE 203, MOORESTOWN, NJ 08057-2920
(609) 225-9641
(609) 225-9641
Mailing address
1107 MANTUA PIKE STE 701, MANTUA, NJ 08051-1606
(609) 225-9641
(609) 225-9641

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05821900
NJ
1041C0700X
Clinical Social Worker
CW020433
PA

Other

Enumeration date
07/01/2016
Last updated
10/10/2023
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