Organization
DANIEL IFRAH LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL IFRAH LCSW (OWNER)
(862) 414-2130
Entity
Organization
Contact information
Practice address
701 CROSS ST, LAKEWOOD, NJ 08701-4029
(862) 414-2130
Mailing address
701 CROSS ST, LAKEWOOD, NJ 08701-4029
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
01/16/2018
Last updated
01/17/2018
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