Most Relevant Information
Provider Data
| NPI Number: | 1003653510 |
| Provider Name: | JESSICA PUGLISE LSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 44SL06858200 |
Most Important Dates
| Enumeration Date: | 07/11/2024 |
| Last Updated: | 07/11/2024 |
Provider Practice Location
390 MAIN RD STE 201
MONTVILLE
NJ
070458960
Practice Location Phone/Fax
| Phone: | 9734344270 |
| Fax: |
Provider Mailing Location
49 VALLEY RD
BUTLER
NJ
074051717
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |