Individual
MS. JACQUELYN ANNE MAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
154 TAMARACK CIR, SKILLMAN, NJ 08558-2021
(609) 577-3869
Mailing address
180 NORTH UNION STREET, LAMBERTVILLE, NJ 08530
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04532500
NJ
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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