Individual
DANIEL BLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
300 BROADWAY, NEWARK, NJ 07104-8000
(201) 429-5116
Mailing address
300 BROADWAY, NEWARK, NJ 07104-8000
(201) 429-5116
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05517200
NJ
Other
Enumeration date
10/24/2012
Last updated
12/11/2012
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