Individual
MS. MIRANDA AARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
76 S ORANGE AVE STE 206B, SOUTH ORANGE, NJ 07079-1923
(973) 762-9296
Mailing address
492 PROSPECT ST, MAPLEWOOD, NJ 07040-1304
(917) 699-7482
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SC05250100
NJ
106H00000X
Marriage & Family Therapist
Primary
44SC05250200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44SC05250100
STATE
NJ
Enumeration date
12/01/2019
Last updated
12/01/2019
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