Individual
BRIAN LEGUIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1157 MAIN AVE, CLIFTON, NJ 07011-2243
(973) 800-0893
Mailing address
1157 MAIN AVE, CLIFTON, NJ 07011-2243
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05917500
NJ
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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