Individual
JACKELINE ALTAMIRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
291 GREENBROOK RD, GREEN BROOK, NJ 08812-2223
(908) 922-6872
Mailing address
291 GREENBROOK RD, GREEN BROOK, NJ 08812-2223
(908) 922-6872
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
442C06431500
NJ
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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