Individual
BRANDON SCOTT KORNBLUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
47 PAULA DR, LONG VALLEY, NJ 07853-3819
(973) 908-1762
Mailing address
47 PAULA DR, LONG VALLEY, NJ 07853-3819
(973) 908-1762
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05865600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44SC05865600
SOCIAL WORK EXAMINERS
NJ
Enumeration date
06/05/2024
Last updated
06/05/2024
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