Individual
ELLEN MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 OSAGE DR, CRANFORD, NJ 07016-3324
(973) 902-7190
Mailing address
8 OSAGE DR, CRANFORD, NJ 07016-3324
(201) 638-1209
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC01388100
NJ
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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