Individual
MYRNA S HAYNES-POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
253 MARTIN LUTHER KING JR DR, JERSEY CITY, NJ 07305-3427
(201) 332-7072
Mailing address
PO BOX 3144, JERSEY CITY, NJ 07303-3144
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05181200
NJ
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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