Individual
CRYSTAL KAY-BAUNE MCCOWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LMSW
Contact information
Practice address
130 ORANGE ST, NEWARK, NJ 07102
(720) 209-2923
Mailing address
1 HARBORSIDE PL APT 605, JERSEY CITY, NJ 07311-3924
(720) 209-2923
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05775600
NJ
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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