Individual
MS. JEANETTE ROSADO DEJESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
655 E JERSEY ST, ELIZABETH, NJ 07206-1259
(908) 994-5387
(908) 351-4572
Mailing address
655 E JERSEY ST, ELIZABETH, NJ 07206-1259
(908) 994-5387
(908) 351-4572
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05092100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44SC05092100
BOARD OF SOCIAL WORK EXAM
NJ
Enumeration date
07/20/2007
Last updated
07/20/2007
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