Provider Information for 1821310046
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Ms. JAIMIE LYNN SCHOEFFER-REYNOLDS LCSW
Sex: Female
NPI: 1821310046
Last Updated: 2010-02-16
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1821310046 | ||||||||
| Enumeration Date | 2010-02-16 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 589 FRANKLIN TPKE SUITE 7 RIDGEWOOD, NJ 07450-1989 United States Phone: 347-886-4541 | Fax:201-836-0249 | ||||||||
| Primary Practice Address | 589 FRANKLIN TPKE SUITE 7 RIDGEWOOD, NJ 07450-1989 United States Phone: 347-886-4541 | Fax:201-836-0249 | ||||||||
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