Individual
ANGELA VIVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
169 CHESTNUT ST, NUTLEY, NJ 07110-2311
(973) 667-1884
Mailing address
169 CHESTNUT ST, NUTLEY, NJ 07110-2311
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07245600
—
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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