Individual
DR. JACK RAYMOND SCHWARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
85 NEWARK POMPTON TPKE, RIVERDALE, NJ 07457-1448
(973) 460-0412
Mailing address
PO BOX 314, RIVERDALE, NJ 07457-0314
(973) 460-0412
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04568000
NJ
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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