Individual
AVRON ISAAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
323 KERRIGAN BLVD APT 4, NEWARK, NJ 07106-3455
(973) 348-6148
Mailing address
323 KERRIGAN BLVD APT 4, NEWARK, NJ 07106-3455
(973) 348-6148
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC06010500
NJ
Other
Enumeration date
07/31/2021
Last updated
05/24/2022
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