Individual
CHARLES JOSEPH IMBIMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
121 CEDAR LN STE 3A, TEANECK, NJ 07666-4457
(201) 566-4926
Mailing address
686 PENN AVE, TEANECK, NJ 07666-1611
(201) 566-4926
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05653300
NJ
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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