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1548978331
JENNIE CHAVIS
RANDOLPH, NJ
NPI
1548978331
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC06279900)
Enumeration Date
2022-11-09
Last Update Date
2023-12-01
Business Address
JENNIE CHAVIS LSW
1250 SUSSEX TPKE STE N
RANDOLPH, NJ 07869-2908
Phone number: 973-532-2256
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Mailing Address
JENNIE CHAVIS LSW
PO BOX 645
MOUNT FREEDOM, NJ 07970-0645
Phone number:
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