Individual
LISA ELEANOR DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
35 SMITH AVE, BRIDGETON, NJ 08302-4534
(856) 896-1892
Mailing address
35 SMITH AVE, BRIDGETON, NJ 08302-4534
(856) 896-1892
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07149800
NJ
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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