Van Der Jagt, Mary Ann

Van Der Jagt, Mary Ann is an sole proprietor health care provider with primary practice located at 28 Railroad Ave , Warwick NY 10990-1639. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Van Der Jagt, Mary Ann can be contacted via phone (845) 986-3766.

Contact Information

Primary practice address
28 Railroad Ave Warwick NY 10990-1639
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R-074382-1 New York

Profile Details

NPI number 1528108651
LBN Legal business name Van Der Jagt, Mary Ann
Credentials LCSW-R
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2007
Last updated Jun 10th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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