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1528108651
MARY ANN VAN DER JAGT
WARWICK, NY
NPI
1528108651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NY R-074382-1)
Enumeration Date
2007-02-07
Last Update Date
2008-06-10
Business Address
MS. MARY ANN VAN DER JAGT LCSW-R
28 RAILROAD AVE
WARWICK, NY 10990-1639
Phone number: 845-986-3766
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Mailing Address
MS. MARY ANN VAN DER JAGT LCSW-R
302 BRADY RD
SACKETS HARBOR, NY 13685-9504
Phone number: 845-325-3960
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