Individual
MRS. JENNIFER LONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
145 VREELAND AVE, NUTLEY, NJ 07110-1618
(973) 235-1212
Mailing address
42 SADLER RD, BLOOMFIELD, NJ 07003-5319
(973) 809-1727
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05649700
NJ
Other
Enumeration date
03/20/2016
Last updated
03/20/2016
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