Doctor Name: | KATHLEEN C. WIN |
NPI Number: | 1295759017 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | 44SC000136 |
Business Practice Address: | 239 Avenel St Suite 11 Avenel, NJ - 070011400 |
Business Phone Number: | 9084126206 |
Business Fax Number: | 9084126206 |
Mailing Address: | 239 Avenel St, Suite 11 AVENEL |
State: | NJ |
Postal Code: | 070011400 |
Phone Number: | 9084126206 |
Fax Number: | 9084126206 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC000136 |
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 |