Individual
EDITH L SLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
44 KNOX AVE, CLIFFSIDE PARK, NJ 07010-3102
(201) 840-9047
Mailing address
44 KNOX AVE, CLIFFSIDE PARK, NJ 07010-3102
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05453500
NJ
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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