Individual
JACQUELINE M OUTWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
130 POWERVILLE RD, BOONTON, NJ 07005-8705
(973) 299-5485
Mailing address
130 POWERVILLE RD, BOONTON, NJ 07005-8705
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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