Jeanette Marlene Tyson, L.C.S.W.

NPI #1407059793 in South Orange, New Jersey

Provider Information

NPI Number: 1407059793
Entity Type: Individual
Name: Jeanette Marlene Tyson, L.C.S.W.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: L.C.S.W.
Enumeration Date: Jun 6, 2007
Last Updated: Dec 3, 2021

Practice Location

Address: 160 GARFIELD PL
City: South Orange
State: New Jersey
ZIP Code: 07079-2107
Phone: (973) 738-3823

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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