Individual
KELLY TAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
550 BROAD ST STE 606, NEWARK, NJ 07102-4537
(877) 485-8525
Mailing address
210 TUDOR CT, LAKEWOOD, NJ 08701-1473
(917) 502-2314
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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