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Individual

MR. JAYSON RAUL CORVALAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
96 W CLINTON ST, DOVER, NJ 07801-3405
(973) 349-6045
Mailing address
96 W CLINTON ST, DOVER, NJ 07801-3405
(973) 349-6045

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SL06431500
NJ

Other

Enumeration date
11/29/2018
Last updated
11/29/2018
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