Individual
MR. THEODORE HOWARD SLOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW LCSW
Contact information
Practice address
712 WALL ROAD, SPRING LAKE HEIGHTS, NJ 07762
(732) 449-6560
(732) 449-6560
Mailing address
712 WALL ROAD, SPRING LAKE HEIGHTS, NJ 07762
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SC01292600
NJ
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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