Individual
JEFFREY THOELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16 LEDGEWOOD RD, FLANDERS, NJ 07836-9428
(973) 229-4976
Mailing address
16 LEDGEWOOD RD, FLANDERS, NJ 07836-9428
(973) 229-4976
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05964000
NJ
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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