Individual
MRS. JACQUELINE AVILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
63 ROOSEVELT AVE, BELLEVILLE, NJ 07109-3401
(973) 388-3232
(973) 759-3891
Mailing address
63 ROOSEVELT AVE, BELLEVILLE, NJ 07109-3401
(973) 388-3232
(973) 759-3891
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05762700
NJ
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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