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1164148771
JESSICA J DACOSTA
EAST BRUNSWICK, NJ
NPI
1164148771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NJ 223-049)
Enumeration Date
2022-10-14
Last Update Date
2022-10-14
Business Address
Dr. JESSICA J DACOSTA PsyD
190 ROUTE 18 STE 203
EAST BRUNSWICK, NJ 08816-1407
Phone number: 732-994-3456
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Mailing Address
Dr. JESSICA J DACOSTA PsyD
53 FAIRBANKS ST
HILLSIDE, NJ 07205-2843
Phone number:
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