Individual
JACQUELINE PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 LINWOOD AVE APT 18T, FORT LEE, NJ 07024-3012
(646) 515-6250
Mailing address
2000 LINWOOD AVE APT 18T, FORT LEE, NJ 07024-3012
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
081568
NY
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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