Individual
LAUREN KRUKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
183 S ORANGE AVE, NEWARK, NJ 07103-2757
(973) 972-4637
Mailing address
671 HOES LN W, PISCATAWAY, NJ 08854-8021
(732) 235-5900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05830400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4144007
—
NJ
Enumeration date
01/30/2014
Last updated
01/30/2014
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