Individual
CARLY KRUPAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1050 WALL ST W, LYNDHURST, NJ 07071-3621
(732) 982-2888
Mailing address
1050 WALL ST W, LYNDHURST, NJ 07071-3621
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL06670900
NJ
1041C0700X
Clinical Social Worker
Primary
44SC06473500
NJ
Other
Enumeration date
11/27/2023
Last updated
06/05/2025
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