Individual
BLAIRE ERICA FUCHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
76 S ORANGE AVE STE 209, SOUTH ORANGE, NJ 07079-1923
(201) 740-7137
(973) 378-9575
Mailing address
2 E LINDEN AVE FL 2, DUMONT, NJ 07628-1912
(201) 577-2877
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
086803-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0490512
—
NJ
Enumeration date
04/27/2018
Last updated
04/27/2018
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