Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 44SC04966200 | NJ |
NPI | 1003128489 |
---|---|
Provider Name | Mary E Katz |
First Address | Florham Park, NJ 07932-1209 |
Second Address | Florham Park, NJ 07932-1212 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2010 |
Last Update Date | 11/08/2010 |