Individual
BARBARA BLYTH RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
642 BROAD STREET, CLIFTON, NJ 07012
(973) 509-9638
Mailing address
6 GRAY STREET, MONTCLAIR, NJ 07042
(973) 509-9638
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00848600
NJ
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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