Individual
JANINE LEIGH ILSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
325 CLAREMONT AVE STE 5, MONTCLAIR, NJ 07042-2218
(973) 506-8184
Mailing address
51 JAMES ST APT 3E, MONTCLAIR, NJ 07042-2933
(908) 397-2003
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
105694
NY
1041C0700X
Clinical Social Worker
Primary
094537
NY
Other
Enumeration date
05/13/2019
Last updated
05/18/2023
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