Individual
MR. DANIEL VINCENT RADOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, MSW, LSW
Contact information
Practice address
93 STICKLES POND RD, NEWTON, NJ 07860-2813
(973) 383-8670
(973) 383-8676
Mailing address
93 STICKLES POND RD, NEWTON, NJ 07860-2813
(973) 383-8670
(973) 383-8676
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06632800
NJ
1041C0700X
Clinical Social Worker
44SL06632800
NJ
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
44SL06632800
NJ
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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