Individual
JANA BOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
75 N BATH AVE, LONG BRANCH, NJ 07740-6317
(732) 923-5242
Mailing address
75 N BATH AVE, LONG BRANCH, NJ 07740-6317
(732) 923-5242
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05731100
NJ
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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