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Individual

EMILY RODIN MCGRATH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.C.S.W.

Contact information

Practice address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(973) 509-8869
Mailing address
80 DURRELL ST, VERONA, NJ 07044-1722
(973) 509-8869

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05439800
NJ
1041S0200X
School Social Worker
618507
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
169820ZEEX
MEDICARE GROUP MEMBER PTAN
NJ
Enumeration date
05/14/2008
Last updated
12/23/2010
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