Individual
JONNELLE TAVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2083 KLOCKNER RD, HAMILTON, NJ 08690-3415
(609) 222-4902
(640) 888-7533
Mailing address
408 HABITAT WAY, SANFORD, FL 32773-4340
(908) 906-8400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06029000
NJ
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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