Individual
THYPARAMPIL M MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
222 E COLUMBIA AVE, PALISADES PARK, NJ 07650-1902
(201) 941-8165
Mailing address
222 E COLUMBIA AVE, PALISADES PARK, NJ 07650-1902
(201) 941-8165
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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