Individual
JACQULEAN ANN OLIVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6 CORNWALL CT STE B, EAST BRUNSWICK, NJ 08816-3347
(732) 955-4141
Mailing address
405 ISABEL CT, HUBERT, NC 28539-4679
(732) 433-1744
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SL06301200
NJ
Other
Enumeration date
08/30/2018
Last updated
01/03/2023
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