MARY ANN VAN DER JAGT

WARWICK, NY
NPI1528108651
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R-074382-1)
Enumeration Date2007-02-07
Last Update Date2008-06-10
Business Address
Ms. MARY ANN VAN DER JAGT LCSW-R
28 RAILROAD AVE
WARWICK, NY 10990-1639
Phone number: 845-986-3766
Mailing Address
Ms. MARY ANN VAN DER JAGT LCSW-R
302 BRADY RD
SACKETS HARBOR, NY 13685-9504
Phone number: 845-325-3960