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NPI Code Detail

MEDICARE: JENNIFER G EYE LCSW

MEDICARE: JENNIFER G EYE LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerSC05290700NJ

General Provider Information

NPI Number : 1154435782
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER G EYE LCSW
Provider Business Mailing Address
First Line : 242 SEA PINE DR
Second Line :
City : EGG HARBOR TOWNSHIP
State : NJ
Zip : 08234-8125
Country : US
Telephone Number : 609-385-6476
Fax Number :
Provider Business Practice Location Address
First Line : 222 NEW RD STE 405
Second Line :
City : LINWOOD
State : NJ
Zip : 08221-1283
Country : US
Telephone Number : 609-377-8118
Fax Number : 609-377-8120
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2006
Last Update Date : 01/06/2020

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Directions to “ JENNIFER G EYE LCSW” Practice Location

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