Individual
MISS ELIANA REDLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
37 EDGEMOUNT RD, EDISON, NJ 08817-2904
(516) 242-4906
Mailing address
37 EDGEMOUNT RD, EDISON, NJ 08817-2904
(516) 242-4906
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
096892
NY
1041C0700X
Clinical Social Worker
Primary
44SC05930500
NJ
Other
Enumeration date
08/03/2017
Last updated
09/26/2020
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