Individual
ELLEN M TWIGG-PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW: 10/17/2016
Contact information
Practice address
1808 RIDGE ROAD, FORKED RIVER, NJ 08731-0873
(732) 859-8915
Mailing address
1808 RIDGE RD, FORKED RIVER, NJ 08731-3251
(732) 859-8915
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SLO6222600
NJ
104100000X
Social Worker
44SLO622600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
Enumeration date
10/23/2017
Last updated
10/23/2017
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