Individual
MRS. CHRISTINA ORTIZ JUGUILON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
145 MAIN ST, REVITALIZING PSYCHIATRY, HACKENSACK, NJ 07601-8107
(201) 488-5161
(201) 488-5162
Mailing address
145 MAIN ST, REVITALIZING PSYCHIATRY, HACKENSACK, NJ 07601-8107
(201) 488-5161
(201) 488-5162
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05266600
NJ
Other
Enumeration date
07/13/2006
Last updated
05/08/2009
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