Individual
EVAN SCHWADRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 PENNINGTON AVE, PASSAIC, NJ 07055-4605
(973) 777-6260
Mailing address
300 PENNINGTON AVE, PASSAIC, NJ 07055-4605
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R035357
NY
Other
Enumeration date
06/11/2009
Last updated
06/11/2009
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