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Individual

MR. JESSE WAYLAND ADAMS II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
418 BOND ST, ASBURY PARK, NJ 07712-6908
(323) 999-2651
Mailing address
PO BOX 1294, ASBURY PARK, NJ 07712-1294
(323) 999-2651

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
37LC00343300
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05967300
NJ

Other

Enumeration date
10/16/2017
Last updated
07/17/2023
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