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NPI Code Detail

MEDICARE: MRS. ANNE R LIEBERMAN LCSW

MEDICARE: MRS. ANNE R LIEBERMAN LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerSC00042500NJ

General Provider Information

NPI Number : 1003967043
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANNE R LIEBERMAN LCSW
Provider Business Mailing Address
First Line : 400 CANTERBURY LN
Second Line :
City : WYCKOFF
State : NJ
Zip : 07481-2304
Country : US
Telephone Number : 201-891-5805
Fax Number : 201-426-0086
Provider Business Practice Location Address
First Line : 777 TERRACE AVE
Second Line : ADVISORS CAPITAL MANAGEMENT
City : HASBROUCK HEIGHTS
State : NJ
Zip : 07604-3110
Country : US
Telephone Number : 201-315-2399
Fax Number : 201-426-0086
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2007
Last Update Date : 07/22/2011

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