JESSAMYN BLAKESLEE TABAKIN

SOUTH ORANGE, NJ
NPI1114749215
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NJ  44SC06149900)
Enumeration Date2024-10-29
Last Update Date2024-10-29
Business Address
JESSAMYN BLAKESLEE TABAKIN LCSW
124 SETON PL
SOUTH ORANGE, NJ 07079-2514
Phone number: 091-761-2899
Mailing Address
JESSAMYN BLAKESLEE TABAKIN LCSW
124 SETON PL
SOUTH ORANGE, NJ 07079-2514
Phone number: 917-612-8992