Organization
CHUCK BEARDSLEY, LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES B BEARDSLEY LCSW (OWNER/OPERATOR)
(908) 264-5336
Entity
Organization
Contact information
Practice address
131 EUCLID AVE, WESTFIELD, NJ 07090
(908) 264-5336
Mailing address
1054 LENAPE WAY, SCOTCH PLAINS, NJ 07076-2814
(908) 264-5336
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05510200
NJ
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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