Organization
CENTER FOR HUMAN GROWTH & DEVLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH PORTNOY LCSW (CO DIRECTOR)
(201) 944-8635
Entity
Organization
Contact information
Practice address
1640 ANDERSON AVENUE, FORT LEE, NJ 07024
(201) 944-8635
Mailing address
1640 ANDERSON AVENUE, FORT LEE, NJ 07024
(201) 944-8635
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/08/2007
Last updated
04/20/2008
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