Individual
MRS. CHANA RACKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 RUTHERFORD BLVD, CLIFTON, NJ 07014-1238
(973) 773-8931
(201) 624-7233
Mailing address
411 RUTHERFORD BLVD, CLIFTON, NJ 07014-1238
(973) 773-8931
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04717800
NJ
1041S0200X
School Social Worker
8617593359
NJ
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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