Individual
WENDALIS CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
11 WAYNE AVE, EAST ORANGE, NJ 07018-1985
(201) 618-6712
Mailing address
11 WAYNE AVE, EAST ORANGE, NJ 07018-1985
(201) 618-6712
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05960000
NJ
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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