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Individual

CAROLYN CHASALOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
16 MADISON AVE, MADISON, NJ 07940-1433
(973) 845-6602
Mailing address
4 MARTIN PL, CHATHAM, NJ 07928-2231

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
44SC0480630
NJ
1041C0700X
Clinical Social Worker
Primary
44SC04806300

Other

Enumeration date
11/14/2021
Last updated
11/14/2021
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