Individual
MR. CRAIG NUSSBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
259 DELSEA DR, SEWELL, NJ 08080-9401
(856) 881-1666
Mailing address
128 IVINS AVE, MERCHANTVILLE, NJ 08109-2924
(609) 605-2847
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05555300
NJ
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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