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Individual

MS. SUSANNE BARAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
613 HOPE RD, EATONTOWN, NJ 07724-1278
(732) 544-4544
Mailing address
PO BOX 2036, LAKEWOOD, NJ 08701-8036

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06787300
NJ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0029807
NJ
Enumeration date
08/30/2021
Last updated
09/01/2023
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