Individual
JENNIFER GOLBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Contact information
Practice address
17-07 ROMAINE ST, FAIR LAWN, NJ 07410-2150
(201) 265-8200
Mailing address
116 TRINITY CT, PARAMUS, NJ 07652-4340
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05794600
NJ
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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