Individual
FAJR SALAAM-GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
640 EAGLE ROCK AVE STE 1, WEST ORANGE, NJ 07052-2931
(908) 803-9550
Mailing address
21 PATTON DR APT A, BLOOMFIELD, NJ 07003-5283
(908) 803-9550
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SL06379700
NJ
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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