Individual
MR. DOUGLAS THOMAS DEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
832 BRUNSWICK AVE, GTBHC, TRENTON, NJ 08608
(609) 396-8877
Mailing address
1012 MERCER DRIVE, HADDONFIELD, NJ 08033-3625
(856) 547-4413
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00662600
NJ
1041C0700X
Clinical Social Worker
LC9636
ME
Other
Enumeration date
07/26/2005
Last updated
07/08/2007
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