Individual
JACLYN E DIGESERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MSW
Contact information
Practice address
10 PINE CREST DR, TOMS RIVER, NJ 08753-1933
(201) 665-2009
Mailing address
10 PINE CREST DR, TOMS RIVER, NJ 08753-1933
(201) 665-2009
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05476800
NJ
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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