Individual
MRS. ELYSE AMEDEO GREENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
409 MAIN ST, CHESTER, NJ 07930-2526
(732) 507-5319
Mailing address
16 MOUNT BETHEL RD # 269, WARREN, NJ 07059-5604
(732) 507-5319
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05617900
NJ
1041S0200X
School Social Worker
44SC05617900
NJ
Other
Enumeration date
01/27/2015
Last updated
03/03/2022
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