Provider Information for 1982288759
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TAYLOR ROTOLO LCSW, ACHT
Sex: Female
NPI: 1982288759
Last Updated: 2024-03-04
Certification Date: 2024-03-04
Certification Date: 2024-03-04
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1982288759 | ||||||||||||
| Enumeration Date | 2021-05-07 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | PO BOX 185 MILFORD, NJ 08848-0185 United States Phone: 484-998-0939 | Fax: | ||||||||||||
| Primary Practice Address | 638 NEWARK AVE # 4 JERSEY CITY, NJ 07306-2306 United States Phone: 201-839-6059 | Fax: | ||||||||||||
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