Jessica Carol Nusbaum

NPI #1003203795 in Woodstock, Illinois

Provider Information

NPI Number: 1003203795
Entity Type: Individual
Name: Jessica Carol Nusbaum
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Apr 20, 2015
Last Updated: Apr 20, 2015

Practice Location

Address: 101 S JEFFERSON ST
City: Woodstock
State: Illinois
ZIP Code: 60098-3437
Phone: (815) 338-7360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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