Individual
MS. ELAINE J MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 HARPER DR, MOORESTOWN, NJ 08057-3208
(856) 552-1300
Mailing address
251 HENDRICKSON AVE, EDGEWATER PARK, NJ 08010-2018
(609) 877-2860
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04853000
NJ
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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