Connolly, Jill A.

Connolly, Jill A. is an sole proprietor health care provider with primary practice located at 116 N 19Th St , Hawthorne NJ 07506-3505. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Connolly, Jill A. can be contacted via phone (201) 212-5804.

Contact Information

Primary practice address
116 N 19Th St Hawthorne NJ 07506-3505
Phone: (201) 212-5804
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05415100 New Jersey

Profile Details

NPI number 1679973770
LBN Legal business name Connolly, Jill A.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2014
Last updated Aug 26th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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