Individual
BRIAN NOWACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
180A TICES LN STE 202, EAST BRUNSWICK, NJ 08816-1395
(732) 354-0050
(732) 325-0334
Mailing address
180A TICES LN STE 202, EAST BRUNSWICK, NJ 08816-1395
(732) 354-0050
(732) 325-0334
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL04987600
NJ
1041C0700X
Clinical Social Worker
Primary
44SC06113000
NJ
Other
Enumeration date
06/25/2019
Last updated
09/16/2022
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