Jeni Tyson Lcsw LLC
NPI #1427466838 in Maplewood, New Jersey
Provider Information
- NPI Number
- 1427466838
- Entity Type
- Organization
- Organization Name
- Jeni Tyson Lcsw LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jul 29, 2014
- Last Updated
- Jul 29, 2014
Practice Location
- Address
- 2115 MILLBURN AVE STE 105
- City
- Maplewood
- State
- New Jersey
- ZIP Code
- 07040-3724
- Phone
- (973) 738-3823
Authorized Official
- Name
- JEANETTE M TYSON, L.C.S.W.
- Title
- OWNER
- Phone
- (973) 738-3823
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