Individual
CAROLYN DAVIS-COTTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2130 MILLBURN AVE, MAPLEWOOD, NJ 07040-3725
(186) 662-0232
Mailing address
90 VALLEY WAY, WEST ORANGE, NJ 07052-5833
(973) 243-2872
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05642500
NJ
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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