Elissia Forty, LSW
NPI #1932929502 in Blackwood, New Jersey
Provider Information
- NPI Number
- 1932929502
- Entity Type
- Individual
- Name
- Elissia Forty, LSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LSW
- Enumeration Date
- Oct 16, 2024
- Last Updated
- Oct 16, 2024
Practice Location
- Address
- 4551 ROUTE 42 STE 5
- City
- Blackwood
- State
- New Jersey
- ZIP Code
- 08012-1751
- Phone
- (856) 271-4490
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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