Individual
DARA DURYEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
225 ROUTE 10 E STE 201, SUCCASUNNA, NJ 07876
(973) 519-1647
Mailing address
225 ROUTE 10 E STE 201, SUCCASUNNA, NJ 07876-1300
(973) 519-1647
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04409500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44SC04409500
STATE LICENSE
NJ
Enumeration date
08/21/2006
Last updated
06/21/2018
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