Organization
INNER VISION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. INNA DYADUK LCSW (SOCIAL WORKER)
(917) 535-9425
Entity
Organization
Contact information
Practice address
10-14 SADDLE RIVER RD, 2ND FLOOR, FAIR LAWN, NJ 07410-5728
(917) 535-9425
Mailing address
9 GARWOOD RD, FAIR LAWN, NJ 07410-4502
(917) 535-9425
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05556500
NJ
Other
Enumeration date
10/09/2013
Last updated
10/09/2013
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