Individual
JENNA KATHERINE WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2 PINE BLVD, MEDFORD, NJ 08055-3401
(631) 316-0418
Mailing address
2 PINE BLVD, MEDFORD, NJ 08055-3401
(631) 316-0418
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06703700
NJ
Other
Enumeration date
06/15/2022
Last updated
10/22/2024
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