Individual
MRS. JENNIE BAILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 LUPTON AVE, WOODBURY, NJ 08096-5901
(856) 332-4698
Mailing address
322 FRANKLIN RD, GLASSBORO, NJ 08028-1509
(856) 203-5014
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SCO5396400
NJ
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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