Individual
DORIAN JANE KAVANAGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
342 GRAND AVE FL 2, ENGLEWOOD, NJ 07631-4355
(973) 327-3445
Mailing address
PO BOX 186, TENAFLY, NJ 07670-0186
(917) 923-5497
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05497900
NJ
Other
Enumeration date
03/08/2013
Last updated
07/27/2022
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