Individual
ANEESAH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
671 HOES LN W, PISCATAWAY, NJ 08854-8021
(732) 235-5500
Mailing address
671 HOES LN W, PISCATAWAY, NJ 08854-8021
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SL0616550
NJ
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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