MS. Kristen Marie Forman, LCSW
NPI #1285105403 in Ridgewood, New Jersey
Provider Information
- NPI Number
- 1285105403
- Entity Type
- Individual
- Name
- MS. Kristen Marie Forman, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Dec 16, 2018
- Last Updated
- Jul 6, 2022
Practice Location
- Address
- 115 PINE STREET
- Address 2
- SUITE 303
- City
- Ridgewood
- State
- New Jersey
- ZIP Code
- 07450
- Phone
- (201) 564-0597
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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