Individual
MR. CHEONG PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
192 3RD AVE, WESTWOOD, NJ 07675-2154
(201) 666-2400
Mailing address
104 WALNUT ST, NEPTUNE, NJ 07753-4302
(973) 271-6441
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SL06010300
NJ
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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