Individual
JILL DONNA WORRALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4 2ND AVE, DENVILLE, NJ 07834-2758
(973) 263-0683
Mailing address
18 MYERS AVE, DENVILLE, NJ 07834-2148
(973) 223-3435
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SL06267600
NJ
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44SL062667600
NJ BOARD OF SOCIAL WORK EXAMINERS
NJ
Enumeration date
12/18/2020
Last updated
12/18/2020
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