Individual
BRIJITH MATTATHIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
352 CLIFTON AVE, CLIFTON, NJ 07011-2619
(973) 365-2125
Mailing address
171 UNION AVE, CLIFTON, NJ 07011-3213
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05734800
NJ
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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