Church, Carol Diane
Church, Carol Diane is an sole proprietor health care provider with primary practice located at 33 S 4Th Ave , Highland Park NJ 08904-2620. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Church, Carol Diane can be contacted via phone (732) 745-2662.Contact Information
Primary practice address
33 S 4Th Ave
Highland Park NJ 08904-2620
Phone: (732) 745-2662
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC00177200 | New Jersey |
Profile Details
| NPI number | 1952454100 |
|---|---|
| LBN Legal business name | Church, Carol Diane |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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