Organization
HUMAN THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YEKATERINA CHIZHOVA (LCSW)
(201) 638-6991
Entity
Organization
Contact information
Practice address
70 WILLOW LN, TENAFLY, NJ 07670-2808
(201) 638-6991
Mailing address
70 WILLOW LN, TENAFLY, NJ 07670-2808
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05236100
NJ
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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