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Individual

MR. CARLO GERARD SALGADO-RUSSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
777 BLOOMFIELD AVE, CLIFTON, NJ 07012-1242
(973) 594-0125
Mailing address
52 HARVARD STREET, MONTCLAIR, NJ 07042
(973) 655-9303

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL06116200
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05861300
NJ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/02/2013
Last updated
06/04/2019
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