Individual
JACK CHRISTOPHER BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
758 NJ-18 N, #110, EAST BRUNSWICK, NJ 08816
(732) 254-0600
Mailing address
5303 STARK WAY UNIT 5303, MOUNT LAUREL, NJ 08054-0120
(856) 220-3965
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07204000
NJ
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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