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Individual

JEFFREY DOORN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
460 BLOOMFIELD AVENUE, SUITE 209, MONTCLAIR, NJ 07042
(201) 650-2815
(201) 438-7293
Mailing address
460 BLOOMFIELD AVE, SUITE 305, MONTCLAIR, NJ 07042-3582
(201) 650-2815
(201) 438-7293

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04552200
NJ

Other

Enumeration date
10/09/2007
Last updated
02/16/2022
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