Individual
DR. JEROME LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
251 N GROVE ST, EAST ORANGE, NJ 07017-4403
(973) 518-1697
Mailing address
251 N GROVE ST, EAST ORANGE, NJ 07017-4403
(973) 518-1697
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05991900
NJ
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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