Individual
JOHN VILLADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
10 COOPER DR, BOONTON, NJ 07005-1212
(973) 229-8899
Mailing address
10 COOPER DR, BOONTON, NJ 07005-1212
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05911500
NJ
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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