Individual
BILLIE AVERY IRIS BREDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
191 WOODPORT RD STE 206, SPARTA, NJ 07871-2641
(973) 862-6066
(973) 862-6048
Mailing address
191 WOODPORT RD STE 206, SPARTA, NJ 07871-2641
(973) 862-6066
(973) 862-6048
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SC06378500
NJ
Other
Enumeration date
07/09/2021
Last updated
01/14/2025
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