Individual
MRS. JENNIFER MARIE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
890 MOUNTAIN AVE, NEW PROVIDENCE, NJ 07974-1218
(908) 277-8900
(908) 508-8919
Mailing address
6 JAMES ST, WHARTON, NJ 07885-1023
(973) 769-3037
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05408000
NJ
Other
Enumeration date
03/28/2012
Last updated
07/30/2021
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