Individual
JACQUELINE CANOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1404 OAK TREE RD STE 4, ISELIN, NJ 08830-1674
(732) 765-2660
Mailing address
1404 OAK TREE RD STE 4, ISELIN, NJ 08830-1674
(732) 765-2660
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
075449
NY
Other
Enumeration date
11/19/2008
Last updated
09/08/2025
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