Individual
MR. ANGEL LUIS MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW/LSW
Contact information
Practice address
321 79TH ST, NORTH BERGEN, NJ 07047
(917) 364-0303
Mailing address
18 TAMMY DRIVE, MIDDLETOWN, NY 10941-2052
(646) 319-5427
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
113504-01
NY
1041C0700X
Clinical Social Worker
44SL06749200
NJ
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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