MS. Mary Ann Van Der Jagt, LCSW-R

NPI #1528108651 in Warwick, New York

Provider Information

NPI Number
1528108651
Entity Type
Individual
Name
MS. Mary Ann Van Der Jagt, LCSW-R
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW-R
Enumeration Date
Feb 7, 2007
Last Updated
Jun 10, 2008

Practice Location

Address
28 RAILROAD AVE
ZIP Code
10990-1639
Phone
(845) 986-3766

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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