Individual
JARED TACTUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
95 MAIN AVE STE 278, CLIFTON, NJ 07014-1748
(973) 692-5127
(973) 807-1992
Mailing address
95 MAIN AVE STE 278, CLIFTON, NJ 07014-1748
(973) 692-5127
(973) 807-1992
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05882900
NJ
Other
Enumeration date
08/09/2020
Last updated
02/05/2025
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