Individual
ALLISON DEGROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11 COLBURN CT, WAYNE, NJ 07470-8211
(973) 696-5668
(973) 305-8078
Mailing address
1060 WALDORF TERRACE, LAKEWOOD, NJ 08701-5546
(973) 696-5668
(973) 305-8078
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05280000
NJ
1041C0700X
Clinical Social Worker
44SL05230300
NJ
Other
Enumeration date
07/21/2006
Last updated
06/28/2012
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