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1245935931
JAKE SUSSMAN
MOUNTAINSIDE, NJ
NPI
1245935931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC06194300)
Enumeration Date
2023-04-03
Last Update Date
2023-04-03
Business Address
JAKE SUSSMAN LCSW
615 SHERWOOD PKWY
MOUNTAINSIDE, NJ 07092-2525
Phone number: 732-991-7248
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Mailing Address
JAKE SUSSMAN LCSW
615 SHERWOOD PKWY
MOUNTAINSIDE, NJ 07092-2525
Phone number: 732-991-7248
Copy
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