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Individual

DR. DOLLY R SACRISTAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, LCSW

Contact information

Practice address
113 ADAMS AVE, RIVER EDGE, NJ 07661-2229
(201) 776-4004
(212) 960-0821
Mailing address
113 ADAMS AVE, RIVER EDGE, NJ 07661-2229
(201) 776-4004
(212) 960-0821

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05439600
NJ

Other

Enumeration date
11/15/2010
Last updated
11/15/2010
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