Individual
ELISA SHAWN MILLER BRUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
205 N FRANKLIN TPKE, RAMSEY, NJ 07446-1630
(201) 321-2956
Mailing address
16 PELZ FARM CT, MAHWAH, NJ 07430-3275
(201) 321-2956
(201) 321-2956
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC46893
NJ
Other
Enumeration date
08/11/2006
Last updated
03/21/2017
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