Individual
MS. JACQUELINE DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
214 BROAD ST STE 2, RED BANK, NJ 07701-2027
(732) 690-2611
Mailing address
214 BROAD ST, RED BANK, NJ 07701-2026
(732) 690-2611
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05537200
NJ
Other
Enumeration date
02/22/2016
Last updated
10/22/2024
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