Individual
MRS. BETH ELANA RENOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
201 MONTGOMERY STREET, SECOND FLOOR, OFFICE 2024, JERSEY CITY, NJ 07302-5052
(201) 890-5370
Mailing address
232 PAVONIA AVE APT 511, JERSEY CITY, NJ 07302-1759
(201) 407-8951
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05853500
NJ
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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