Individual
ABBY UNDERWOOD MAITLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
374 HICKORY ST, TEANECK, NJ 07666-4031
(740) 501-7362
Mailing address
374 HICKORY ST, TEANECK, NJ 07666-4031
(740) 501-7362
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0700935
OH
1041C0700X
Clinical Social Worker
085428
NY
1041C0700X
Clinical Social Worker
Primary
44SC05745800
NJ
Other
Enumeration date
05/04/2012
Last updated
09/25/2021
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