Individual
JEFF AMBROSE KPOLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
223 GIBBSBORO RD, CLEMENTON, NJ 08021-4135
(856) 236-3415
Mailing address
221 AMAN AVE, LINDENWOLD, NJ 08021-2545
(856) 236-3415
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05957300
NJ
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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