| Private Practice | |
|
76 Broadway Denville NJ 07834-2764 | |
| (973) 216-6432 | |
| (973) 831-9892 |
| Full Name | Private Practice |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 76 Broadway, Denville, New Jersey |
| Authorized Official Name and Position | Sonia Caridad Reyes (SENIOR CLINICIAN BILINGUAL) |
| Authorized Official Contact | 9732995400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Private Practice 421 Broadway Pompton Lakes NJ 07442-1239 Ph: (973) 216-6432 | Private Practice 76 Broadway Denville NJ 07834-2764 Ph: (973) 216-6432 |
| NPI Number | 1740341221 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740341221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC01394600 (New Jersey) | Primary |
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