Individual
MR. HEARNS PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
741 BROADWAY, NEWARK, NJ 07104-4309
(800) 994-6242
Mailing address
182 LAUREL AVE, IRVINGTON, NJ 07111-1331
(973) 931-0750
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05691300
NJ
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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