Organization
JACQUELINE DURHAM, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN M. GARCIA (ACCOUNT MANAGER)
(856) 242-3736
Entity
Organization
Contact information
Practice address
214 BROAD ST, RED BANK, NJ 07701-2026
(732) 690-2611
Mailing address
214 BROAD ST, RED BANK, NJ 07701-2026
(732) 690-2611
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
10/07/2019
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