Individual
JOELLE FRANCES DERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
25 POMPTON AVE, VERONA, NJ 07044-2941
(973) 862-0673
Mailing address
19 CYPRESS AVE, VERONA, NJ 07044-1909
(973) 862-0673
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SC05803400
NJ
1041C0700X
Clinical Social Worker
44SC05803400
NJ
Other
Enumeration date
11/07/2019
Last updated
10/06/2020
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