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Individual

JILL KAREN PANICO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
17 CRAIG RD, NESHANIC STATION, NJ 08853-3506
(908) 782-2265
Mailing address
726 ROUTE 202 STE 320, BRIDGEWATER, NJ 08807-2737
(908) 507-1330

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00284900
NJ
104100000X
Social Worker
44SLO5760200

Other

Enumeration date
04/10/2020
Last updated
04/10/2020
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