Individual
MRS. CATHERINE DOROTHY TANIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
311 CLAREMONT AVE, MONTCLAIR, NJ 07042-2240
(201) 468-1863
Mailing address
44 RAVINE AVE, WYCKOFF, NJ 07481-2919
(201) 390-9107
(201) 612-0177
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05462800
NJ
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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