Individual
EILEEN LINDA CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
22-08 ROUTE 208, FAIR LAWN, NJ 07410-2609
(201) 740-7086
(201) 791-0147
Mailing address
6 SPLIT ROCK RD, NORTH HALEDON, NJ 07508-2859
(201) 264-7332
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05391400
NJ
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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