Individual
JEDIEDJAH MOSHE RODRIGUES PEREIRA
Active
Individual
JEDIEDJAH MOSHE RODRIGUES PEREIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
37LC0021100
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05605500
NJ
Other
Enumeration date
03/04/2013
Last updated
06/16/2016
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