Raja Salloum

NPI #1942708102 in Montclair, New Jersey

Provider Information

NPI Number: 1942708102
Entity Type: Organization
Organization Name: Raja Salloum
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 23, 2018
Last Updated: Jan 23, 2018

Practice Location

Address: 45 PARK ST
City: Montclair
State: New Jersey
ZIP Code: 07042-3439
Phone: (201) 887-6678

Authorized Official

Name: YASMEN EISSA
Title: PRACTICE MANAGER
Phone: (201) 424-1687

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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