Individual
BETH LARA ANAGNOSTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
691 CEDAR LN, TEANECK, NJ 07666-1702
(201) 692-0508
(201) 692-1691
Mailing address
691 CEDAR LN, TEANECK, NJ 07666-1702
(201) 692-0508
(201) 692-1691
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04626600
NJ
1041C0700X
Clinical Social Worker
6183767
NY
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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