Individual
JERI MIDDLEBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CSW
Contact information
Practice address
2475 MCCLELLAN AVE, PENNSAUKEN, NJ 08109-4683
(856) 675-3655
Mailing address
2475 MCCLELLAN AVE, PENNSAUKEN, NJ 08109-4683
(856) 675-3655
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SW04856400
NJ
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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