Individual
JENNIFER L BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
642 BROAD ST STE 3, CLIFTON, NJ 07013-1615
(201) 337-8330
Mailing address
PO BOX 600, OAKLAND, NJ 07436-0600
(201) 337-8330
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05162200
NJ
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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