Individual
DEANNE YAKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
60 W RIDGEWOOD AVE, RIDGEWOOD, NJ 07450-3197
(201) 378-7389
Mailing address
414 N BROADWAY, NYACK, NY 10960-1212
(914) 629-2021
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05494300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44SC05494300
NJ STATE SOCIAL WORK LICENSE
NJ
Enumeration date
01/21/2019
Last updated
01/21/2019
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