Individual
JENNIFER A KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
218 STATE RT 17 N, SUITE 13, ROCHELLE PARK, NJ 07662-3399
(201) 488-6543
(201) 488-6535
Mailing address
5607 TUDOR DR, POMPTON PLAINS, NJ 07444-1131
(973) 907-7517
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05265800
NJ
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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