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Jacqueline Suzanne Stadler, LCSW

Social Worker, Clinical in Perth Amboy, NJ. Individual provider (NPI-1).

NPI number1033320122
StatusActive
Last updated in NPPESSep 3, 2010

Details

NPI
1033320122
Entity type
Individual (NPI-1)
Name
Jacqueline Suzanne Stadler
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
May 24, 2007
Last updated
Sep 3, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical44SC05320800NJYes

Practice location

570 Lee Street
Perth Amboy, NJ 08861-3053

Phone 732-442-1666 · Fax 732-442-9512

Mailing address

570 Lee Street
Perth Amboy, NJ 08861-3053

Phone 732-442-1666 · Fax 732-442-9512

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