Organization
ELIZABETH MAC EWEN LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH MARYEL MAC EWEN LCSW (LICENSED CLINICAL SOCIAL WORKER)
(973) 903-1183
Entity
Organization
Contact information
Practice address
13 JAMES ST FL 1, MORRISTOWN, NJ 07960-5941
(973) 903-1183
Mailing address
5 SUNSET DR, BERNARDSVILLE, NJ 07924-2714
(973) 903-1183
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
44SC05589400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053724823
NPI 1
NJ
Enumeration date
08/30/2017
Last updated
08/30/2017
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