Individual
MARTHA JAIKISSOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
622 VALLEY RD, MONTCLAIR, NJ 07043-1470
(845) 507-6787
Mailing address
96 CHARLES ST, JERSEY CITY, NJ 07307-3538
(551) 655-0986
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06418200
NJ
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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