Individual
DR. ELIZABETH REDEGELD JOHANNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LCSW
Contact information
Practice address
37 KINGS RD STE 201, MADISON, NJ 07940-2500
(973) 835-6337
Mailing address
37 KINGS RD STE 201, MADISON, NJ 07940-2500
(862) 226-7285
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05654600
NJ
Other
Enumeration date
10/22/2015
Last updated
04/25/2019
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