| Susan A Fishlock Lcsw Pa | |
|
59 Beaverbrook Rd Ste 201f Lincoln Park NJ 07035-1789 | |
| (862) 221-1110 | |
| Not Available |
| Full Name | Susan A Fishlock Lcsw Pa |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 59 Beaverbrook Rd Ste 201f, Lincoln Park, New Jersey |
| Authorized Official Name and Position | Susan Fishlock (OWNER/ LCSW) |
| Authorized Official Contact | 8622211110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan A Fishlock Lcsw Pa 59 Beaverbrook Rd Ste 201f Lincoln Park NJ 07035-1789 Ph: (862) 221-1110 | Susan A Fishlock Lcsw Pa 59 Beaverbrook Rd Ste 201f Lincoln Park NJ 07035-1789 Ph: (862) 221-1110 |
| NPI Number | 1316363138 |
|---|---|
| Provider Enumeration Date | 03/17/2014 |
| Last Update Date | 03/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316363138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05479500 (New Jersey) | Primary |
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