Individual
ELLEN MINDY SPLAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Contact information
Practice address
450 TILTON RD STE 250, NORTHFIELD, NJ 08225-1260
(609) 457-5854
Mailing address
23 N GILMAR CIR, MARGATE CITY, NJ 08402-1676
(609) 823-4962
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00092100
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05168500
NJ
Other
Enumeration date
07/30/2006
Last updated
10/02/2019
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