Individual
MS. ELIZABETH SIDLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
145 MAPLE AVE, RED BANK, NJ 07701-1717
(732) 747-9660
(732) 747-7590
Mailing address
5 MAXWELL RD, EATONTOWN, NJ 07724-3433
(732) 757-5100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC06020100
NJ
Other
Enumeration date
12/29/2015
Last updated
08/27/2021
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