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Organization
VIRGINIA D. MAC ISAAC, LCSW, LLC
Active
Organization
VIRGINIA D. MAC ISAAC, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA D. MAC ISAAC LCSW (MANAGING MEMBER)
(201) 444-3533
Entity
Organization
Contact information
Practice address
323 GODWIN AVE, MIDLAND PARK, NJ 07432-1501
(201) 444-3533
Mailing address
615 BLUE RIDGE LN, MAHWAH, NJ 07430-3417
(201) 444-3533
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05172200
NJ
Other
Enumeration date
06/03/2006
Last updated
08/22/2020
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