Individual
MRS. ELIZABETH M MAC EWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
799 BLOOMFIELD AVE, SUITE 300, 3RD FLOOR, VERONA, NJ 07044-1367
(973) 429-6130
Mailing address
799 BLOOMFIELD AVE, SUITE 300, 3RD FLOOR, VERONA, NJ 07044-1367
(973) 429-6130
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL05727300
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05589400
NJ
Other
Enumeration date
06/09/2014
Last updated
03/17/2018
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