Individual
MRS. CLARA PATRICIA BIRNBAUN-ITZIGSOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
121 CEDAR LN, TEANECK, NJ 07666-4457
(201) 923-1209
Mailing address
356 W CLINTON AVE, TENAFLY, NJ 07670-1945
(201) 923-1209
(201) 266-0051
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37PC00398800
NJ
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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