Individual
MS. EMILY MCQUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 DAYTON ST, RIDGEWOOD, NJ 07450-4437
(201) 444-1071
Mailing address
100 DAYTON ST, RIDGEWOOD, NJ 07450-4437
(201) 444-1071
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00591100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44SC00591100
LCSW LICENSE
NJ
Enumeration date
03/07/2007
Last updated
07/08/2007
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