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Individual

MS. ASYA RIVINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
697 VALLEY ST, SUITE B1, MAPLEWOOD, NJ 07040-2641
(800) 870-6244
Mailing address
96 ELM ST, MILLBURN, NJ 07041-2112
(800) 870-6244

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
079083-1
NY
1041C0700X
Clinical Social Worker
44SC05647900
NJ

Other

Enumeration date
06/02/2008
Last updated
03/18/2017
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