Provider Information for 1760610901
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Mrs. JACQUELINE JONES RLCSW
Sex: Female
NPI: 1760610901
Last Updated: 2009-06-25
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1760610901 | ||||||||
| Enumeration Date | 2009-06-25 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 71 STEPHEN RD BAYPORT, NY 11705-1231 United States Phone: 631-512-1844 | Fax: | ||||||||
| Primary Practice Address | 71 STEPHEN RD BAYPORT, NY 11705-1231 United States Phone: 631-512-1844 | Fax: | ||||||||
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