Individual
JACQUES F MAITRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
255 BROAD ST, SUITE 2, BLOOMFIELD, NJ 07003
(862) 621-9175
Mailing address
154 BERKELEY AVE, BLOOMFIELD, NJ 07003-5725
(408) 516-6282
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05760900
NJ
Other
Enumeration date
05/16/2018
Last updated
05/01/2024
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