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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 17 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.

Request for update

Popular Providers