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Individual

EVAN GEORGE FARRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
9 WHITE BIRCH DR, MORRIS PLAINS, NJ 07950-3232
(973) 476-1463
Mailing address
9 WHITE BIRCH DR, MORRIS PLAINS, NJ 07950-3232

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05623300
NJ

Other

Enumeration date
07/26/2022
Last updated
07/26/2022
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