Individual
VANESSA YAMUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
90 PARKER ST, NEWARK, NJ 07104-1028
(973) 268-5154
Mailing address
318 AMPERE PKWY, BLOOMFIELD, NJ 07003-6539
(973) 461-9253
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06361400
NJ
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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