Individual
JENNIFER HALLIE ROGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5 STONEHEDGE TER, LIVINGSTON, NJ 07039-3415
(201) 247-8580
Mailing address
5 STONEHEDGE TER, LIVINGSTON, NJ 07039-3415
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
101945
NY
1041C0700X
Clinical Social Worker
Primary
44SC05915000
NJ
Other
Enumeration date
03/21/2019
Last updated
05/15/2022
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