Individual
PHYLLIS DAVIS-MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
236 TINTERN CT, SOMERSET, NJ 08873-4862
(917) 975-2023
Mailing address
236 TINTERN CT, SOMERSET, NJ 08873-4862
(917) 975-2023
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
098616
NY
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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