Individual
CARLY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 BAY AVE, OUTPATIENT PSYCHIATRY, 6TH FLOOR, MONTCLAIR, NJ 07042
(973) 429-6883
Mailing address
1 BAY AVE FL 6, MONTCLAIR, NJ 07042-4837
(973) 429-6883
(973) 680-7715
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05783600
NJ
Other
Enumeration date
10/29/2019
Last updated
01/27/2025
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