Individual
ALICIA M AYVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
212 BOULEVARD, HASBROUCK HEIGHTS, NJ 07604-1802
(201) 803-2382
Mailing address
212 BOULEVARD, HASBROUCK HEIGHTS, NJ 07604-1802
(201) 803-2382
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
116812
MA
1041C0700X
Clinical Social Worker
Primary
44SC05484200
NJ
1041S0200X
School Social Worker
611272
NJ
1041S0200X
School Social Worker
PPS-0603456
VA
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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