Individual
CAROL S PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1841 BROADWAY, NEW YORK, NY 10023-7603
(212) 333-3444
Mailing address
18 HAMILTON RD, GLEN RIDGE, NJ 07028-1109
(312) 560-6129
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06187800
NJ
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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