Individual
JOSLAINEZ GONZALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47 MILLER STREET,, NEWARK, NJ 07114
(973) 639-1950
Mailing address
47 MILLER STREET, NEWARK, NH 07114
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0218341
—
NJ
Enumeration date
09/14/2020
Last updated
09/14/2020
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