Individual
MS. ILENE ANNE RICHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
14 LAKE AVE, SOMERSET, NJ 08873-3327
(732) 249-1580
Mailing address
14 LAKE AVE, SOMERSET, NJ 08873-3327
(732) 249-1580
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00748900
NJ
Other
Enumeration date
04/14/2007
Last updated
07/08/2007
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