Living Well 4 Life
NPI #1174140271 in Jackson, New Jersey
Provider Information
- NPI Number
- 1174140271
- Entity Type
- Organization
- Organization Name
- Living Well 4 Life
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jul 6, 2020
- Last Updated
- Jul 6, 2020
Practice Location
- Address
- 405 DAFFODIL DR
- City
- Jackson
- State
- New Jersey
- ZIP Code
- 08527-4125
- Phone
- (732) 966-5809
Authorized Official
- Name
- REKISHIA L MCMILLAN, MSW
- Title
- OWNER
- Phone
- (732) 966-5809
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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