Individual
MS. JACALYN MICHELE KONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
106 OLD HOOK ROAD, WESTOOD, NJ 07675
(201) 666-2400
(201) 666-2334
Mailing address
128 MAHAR AVE, CLIFTON, NJ 07011
(973) 478-2468
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05170900
NJ
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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