| Private Practice | |
|
344 Grove St Unit 834 Jersey City NJ 07302-5923 | |
| (201) 253-5595 | |
| Not Available |
| Full Name | Private Practice |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 344 Grove St Unit 834, Jersey City, New Jersey |
| Authorized Official Name and Position | James Dashuan Williams (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5512251527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Private Practice 344 Grove St Unit 834 Jersey City NJ 07302-5923 Ph: (551) 225-1527 | Private Practice 344 Grove St Unit 834 Jersey City NJ 07302-5923 Ph: (201) 253-5595 |
| NPI Number | 1871195040 |
|---|---|
| Provider Enumeration Date | 11/12/2020 |
| Last Update Date | 08/21/2024 |
| Certification Date | 08/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871195040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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