Individual
MR. BRIAN CONDON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BRIAN CONDON LCSW
Contact information
Practice address
333 TILTON RD, NORTHFIELD, NJ 08225-1253
(609) 377-8118
(609) 377-8120
Mailing address
2520 HERBERT DR, NORTHFIELD, NJ 08225-1445
(301) 706-0187
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05487700
NJ
Other
Enumeration date
01/21/2012
Last updated
01/21/2012
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