Individual
KAILEY ROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 HOPE ROAD,, BLDG 3B, MAILBOX #8, EATONTOWN, NJ 07724
(732) 724-1234
Mailing address
615 HOPE ROAD,, BLDG 3B, MAILBOX #8, EATONTOWN, NJ 07724
(732) 724-1234
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06852700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0791199
—
NJ
Enumeration date
09/13/2022
Last updated
09/13/2022
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