| Randi E. Jeddis, Msw,lcsw,llc | |
|
6 Pompton Ave Suite #24 Cedar Grove NJ 07009-2042 | |
| (973) 239-3373 | |
| Not Available |
| Full Name | Randi E. Jeddis, Msw,lcsw,llc |
|---|---|
| Speciality | Social Worker |
| Location | 6 Pompton Ave, Cedar Grove, New Jersey |
| Authorized Official Name and Position | Randi Ellen Jeddis (PSYCHOTHERAPIST) |
| Authorized Official Contact | 9732393373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randi E. Jeddis, Msw,lcsw,llc 6 Pompton Ave Suite #24 Cedar Grove NJ 07009-2042 Ph: (973) 239-3373 | Randi E. Jeddis, Msw,lcsw,llc 6 Pompton Ave Suite #24 Cedar Grove NJ 07009-2042 Ph: (973) 239-3373 |
| NPI Number | 1568636504 |
|---|---|
| Provider Enumeration Date | 04/22/2008 |
| Last Update Date | 04/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568636504 | NPI | - | NPPES |
| 1699973040 | Other | NJ | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 44SC00172600 (New Jersey) | Primary |
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