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Individual

TAYLOR ROTOLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, ACHT

Contact information

Practice address
638 NEWARK AVE # 4, JERSEY CITY, NJ 07306-2306
(201) 839-6059
Mailing address
PO BOX 185, MILFORD, NJ 08848-0185
(484) 998-0939

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SC06198200
NJ
104100000X
Social Worker
CW023161
PA

Other

Enumeration date
05/07/2021
Last updated
03/04/2024
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