Individual
ELIZABETH DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
103 PARK ST, 2B, MONTCLAIR, NJ 07042-5913
(973) 509-7768
Mailing address
148 WATCHUNG AVE, MONTCLAIR, NJ 07043-1735
(973) 744-8636
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04559600
NJ
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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