Individual
ELIZABETH DORUSAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
92 2ND ST, HACKENSACK, NJ 07601-2191
(551) 996-8135
Mailing address
389 HILLSIDE AVE, NUTLEY, NJ 07110-1145
(973) 901-0442
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00604800
NJ
Other
Enumeration date
10/31/2013
Last updated
10/31/2013
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