Individual
MS. CAROLYN PORTE-LIEBERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
121 CEDAR LN, TEANECK, NJ 07666-4457
(201) 567-4983
Mailing address
489 KNICKERBOCKER RD, TENAFLY, NJ 07670-1452
(201) 567-4983
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SC04926900
NJ
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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