Individual
JENNIFER MEKKAWY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
530 MAIN AVE, PASSAIC, NJ 07055
(973) 470-3106
Mailing address
530 MAIN AVE, PASSAIC, NJ 07055-5700
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SC05625000
NJ
Other
Enumeration date
12/22/2015
Last updated
07/11/2018
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