Individual
JUAN CARLOS BARRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
700 AIRPORT RD, LAKEWOOD, NJ 08701-5907
(201) 640-6968
Mailing address
6 RIVERWOOD CT, TOMS RIVER, NJ 08757-2201
(201) 640-6968
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06447100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
Enumeration date
02/26/2019
Last updated
02/26/2019
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