Individual
BASYA KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1771 MADISON AVE, LAKEWOOD, NJ 08701-1242
(732) 364-2144
Mailing address
1771 MADISON AVE, LAKEWOOD, NJ 08701-1242
(732) 364-2144
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05549300
NJ
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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