Individual
DR. EVELYN JOSEFA NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D. LCSW
Contact information
Practice address
121 LA GRANDE AVE, FANWOOD, NJ 07023-1556
(908) 644-5556
(908) 490-1194
Mailing address
121 LA GRANDE AVE, FANWOOD, NJ 07023-1556
(908) 644-5556
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05339000
NJ
Other
Enumeration date
05/07/2007
Last updated
05/26/2008
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