Individual
MS. JENNIFER RERNGSAMAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
180 TICES LN, EAST BRUNSWICK, NJ 08816-1345
(732) 598-6396
(732) 548-5859
Mailing address
180 SUNSET AVE, OLD BRIDGE, NJ 08857-1255
(732) 598-6396
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05493300
NJ
Other
Enumeration date
02/13/2012
Last updated
01/13/2020
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