Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 44SC05583200 | NJ |
NPI | 1003218678 |
---|---|
Provider Name | Caroline K Hartshorne |
First Address | Skillman, NJ 08558 |
Second Address | Skillman, NJ 08558 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2014 |
Last Update Date | 25/09/2014 |