Individual
MR. RAINER ANDREAS ORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
234 COLUMBIA AVE STE A, FORT LEE, NJ 07024-4132
(201) 928-0968
(718) 983-0348
Mailing address
555 KENWOOD PL, TEANECK, NJ 07666-1651
(718) 983-8872
(718) 983-0348
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
050466
NY
104100000X
Social Worker
Primary
N44SC04780800
NJ
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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