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Provider Information for 1467514836


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PATRICIA MORRIS lcsw


Sex: Female

NPI: 1467514836
Last Updated: 2007-07-08
Certification Date:

Details

NameValue
NPI1467514836
Enumeration Date2006-12-14
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 339 W 2ND ST
BOUND BROOK, NJ 08805-1833
United States

Phone: 732-356-1082 | Fax:732-356-6327
 
Primary Practice Address 339 W 2ND ST
BOUND BROOK, NJ 08805-1833
United States

Phone: 732-356-1082 | Fax:732-356-6327
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalNJ44SC00856100