Individual
IVY HORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
135 WAGNER ST, EDISON, NJ 08837-2824
(908) 494-9871
Mailing address
647 HOES LN W, PISCATAWAY, NJ 08854-5627
(732) 235-3829
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05679300
NJ
Other
Enumeration date
01/29/2020
Last updated
12/20/2021
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