Individual
MRS. ELIZABETH ANNE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
890 MOUNTAIN AVE, NEW PROVIDENCE, NJ 07974-1218
(908) 941-9422
Mailing address
890 MOUNTAIN AVE, NEW PROVIDENCE, NJ 07974-1218
(908) 941-9422
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05707300
NJ
Other
Enumeration date
01/31/2014
Last updated
12/01/2020
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