Individual
MRS. ALICE KATHERINE FORSYTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
73 PARK ST FL 2, MONTCLAIR, NJ 07042-2903
(973) 255-8206
Mailing address
56 GREENBROOK DR, BLOOMFIELD, NJ 07003-2882
(973) 743-5219
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05678400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0450239034
—
NJ
Enumeration date
03/15/2018
Last updated
03/15/2018
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