Doctor Name: | MRS. SALLY GOLBORO HARRISON |
NPI Number: | 1043386667 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSS |
License Number: | NJSC04771 |
Business Practice Address: | 574 Franklin Ave Franklin Lakes, NJ - 07417 |
Business Phone Number: | 2018917878 |
Business Fax Number: | |
Mailing Address: | 632 Fairview Place, WYCKOFF |
State: | NJ |
Postal Code: | 07481 |
Phone Number: | 2018917878 |
Fax Number: | 2018917027 |
NPI Enumeration Date: | 11/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | NJSC04771 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |