Individual
EILEEN CATHERINE CORVELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
63 CENTRAL AVE, GLEN ROCK, NJ 07452-1836
(917) 324-6254
Mailing address
63 CENTRAL AVE, GLEN ROCK, NJ 07452-1836
(917) 324-6254
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05780800
NJ
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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