Individual
MRS. DANIELLA JERNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
570 W MOUNT PLEASANT AVE STE 106, LIVINGSTON, NJ 07039-1619
(862) 763-2998
Mailing address
33 GLENDALE ST, NUTLEY, NJ 07110-1219
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05692000
NJ
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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