Individual
MR. GEOFFREY DOERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
183 SOUTH ORANGE AVENUE, NEWARK, NJ 07103
(800) 969-5300
Mailing address
671 HOES LN, PISCATAWAY, NJ 08854-5627
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC01336500
NJ
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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