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Individual

MS. CATHERINE TATEVOSYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
292 MAIN ST APT G, MADISON, NJ 07940-2348
(917) 566-2209
Mailing address
292 MAIN ST APT G, MADISON, NJ 07940-2348
(917) 566-2209

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
082640
NY
1041C0700X
Clinical Social Worker
Primary
44SC05857900
NJ

Other

Enumeration date
05/09/2012
Last updated
08/31/2021
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