DAVIS TANNENBAUM

LAKEWOOD, NJ
NPI1912534272
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NJ  44SC05903600)
Enumeration Date2020-03-26
Last Update Date2020-03-26
Business Address
DAVIS TANNENBAUM LCSW
1771 MADISON AVE
LAKEWOOD, NJ 08701-1242
Phone number: 732-364-2144
Mailing Address
DAVIS TANNENBAUM LCSW
958 CLAIRE DR
LAKEWOOD, NJ 08701-5517
Phone number: 718-288-8354
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