Individual
JAIME LAUREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DSW, LCSW
Contact information
Practice address
141 SOUTH AVE STE 7, FANWOOD, NJ 07023
(908) 268-3702
Mailing address
253 WOODBINE CIR, NEW PROVIDENCE, NJ 07974-1737
(908) 268-3702
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05536800
NJ
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/12/2013
Last updated
06/04/2020
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