Individual
COLLEEN MARIE CAVANAGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
89 WALNUT ST, SUITE 204, MONTCLAIR, NJ 07042-4027
(201) 362-5793
Mailing address
39 N MOUNTAIN AVE, APT 2, MONTCLAIR, NJ 07042-2351
(201) 362-5793
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05496700
NJ
Other
Enumeration date
02/29/2012
Last updated
04/04/2013
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