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Individual

MR. EDWARD GEORGE WATSON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
121 CHANLON RD, NEW PROVIDENCE, NJ 07974-1543
(908) 277-1808
Mailing address
121 CHANLON RD, NEW PROVIDENCE, NJ 07974-1543

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL05897800
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05825000
NJ

Other

Enumeration date
10/24/2016
Last updated
08/13/2022
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