Individual
MS. JACLYN PAIGE LEIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W., L.C.S.W.
Contact information
Practice address
204 EAGLE ROCK AVE, ROSELAND, NJ 07068-1723
(201) 207-0376
(973) 226-1506
Mailing address
204 EAGLE ROCK AVE, ROSELAND, NJ 07068-1723
(201) 207-0376
(973) 226-1506
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05140900
NJ
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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