Individual
BRENDA LESE ALMODOVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 TIFFANY BLVD APT 250, NEWARK, NJ 07104-2441
(973) 851-8519
Mailing address
90 TIFFANY BLVD APT 250, NEWARK, NJ 07104-2441
(973) 851-8519
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05521200
NJ
1041S0200X
School Social Worker
604553
NJ
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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