Individual
DYLAN CLEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
40 CHRISTOPHER WAY, EATONTOWN, NJ 07724-3327
(732) 961-4354
Mailing address
PO BOX 2036, LAKEWOOD, NJ 08701-8036
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SL06720000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
Enumeration date
11/02/2023
Last updated
11/02/2023
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