Individual
ALLA GOLBURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
33-11 BROADWAY, FAIR LAWN, NJ 07410-4634
(201) 794-9797
(646) 619-4299
Mailing address
12 BREARLY CRES, FAIR LAWN, NJ 07410-3553
(201) 791-3256
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05366800
NJ
Other
Enumeration date
08/11/2009
Last updated
08/11/2009
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