Individual
ELIZABETH JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
13 FREEDOM DR, LAKEWOOD, NJ 08701-4159
(718) 506-1115
(888) 371-0842
Mailing address
50 BROOKFIELD RD, MONTCLAIR, NJ 07043-1302
(973) 572-3332
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC01167300
NJ
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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