Jason Vandewater, LCSW

NPI #1912351883 in West Bbabylon, New York

Provider Information

NPI Number: 1912351883
Entity Type: Individual
Name: Jason Vandewater, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Apr 18, 2016
Last Updated: Apr 18, 2016

Practice Location

Address: 1 FARMINGDALE ROAD
City: West Bbabylon
State: New York
ZIP Code: 11704
Phone: (631) 669-5355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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