Individual
MS. ELEANOR MARIE STUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
316 PROSPECT AVE APT 6A, HACKENSACK, NJ 07601-2526
(201) 525-1167
(201) 525-1168
Mailing address
316 PROSPECT AVE APT 6A, HACKENSACK, NJ 07601-2526
(201) 525-1167
(201) 525-1168
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SC00604000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029939-1
SOCIAL WORK LICENSE
NY
Enumeration date
03/24/2007
Last updated
07/08/2007
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