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Individual

JACLYN BAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
777 BLOOMFIELD AVE, SUITE B, CLIFTON, NJ 07012-1242
(973) 594-0125
Mailing address
31 PACKANACK LAKE RD, WAYNE, NJ 07470-5809
(551) 427-9450

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SC05603100
NJ
104100000X
Social Worker
NJ

Other

Enumeration date
10/13/2009
Last updated
01/08/2019
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