Individual
ELIZABETH BLACKBURN-GRUVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
102 TOLEDO LN, WILLINGBORO, NJ 08046-3723
(609) 937-0920
Mailing address
102 TOLEDO LN, WILLINGBORO, NJ 08046-3723
(609) 937-0920
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05190300
NJ
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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