Organization
LIA HACKETT APN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIA HACKETT APN (OWNER)
(201) 321-4071
Entity
Organization
Contact information
Practice address
11 PATERSON AVE, MIDLAND PARK, NJ 07432-1829
(201) 321-4071
Mailing address
11 PATERSON AVE STE 7, MIDLAND PARK, NJ 07432-1873
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/03/2023
Last updated
09/11/2025
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