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Individual

MR. JOSEPH RUSSELL WILLIAM JAWOREK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA-CT, ATR-BC

Contact information

Practice address
27 ROUTE 202 SOUTH, FAR HILLS, NJ 07931
(973) 476-6109
Mailing address
11 NORTH RD, BOONTON TOWNSHIP, NJ 07005-9229
(973) 476-6109

Taxonomy

Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary

Other

Enumeration date
06/06/2007
Last updated
07/23/2009
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