Individual
JANA WOLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
16 COMMERCE DR, CRANFORD, NJ 07016-3506
(908) 272-2474
Mailing address
80 BRIDGE PLAZA DR, MANALAPAN, NJ 07726-1700
(732) 757-9797
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05378600
NJ
Other
Enumeration date
01/11/2007
Last updated
08/23/2010
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