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Individual

MS. ELLEN S UBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
710 EASTON AVE, STE D, SOMERSET, NJ 08873-1855
(732) 309-4897
Mailing address
PO BOX 491, ISLAND HEIGHTS, NJ 08732-0491
(732) 309-4897

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
44SC05315100
NJ
1041C0700X
Clinical Social Worker
Primary
44SL05301300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
44SC05315100
LCSW - LICENSE
NJ
01
44SL05301300
LICENSE
NJ
Enumeration date
05/11/2006
Last updated
05/26/2020
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