Individual
MR. ANGELO FOURAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
288 RUES LN, EAST BRUNSWICK, NJ 08816-5699
(732) 257-6100
Mailing address
49 PARK AVE, ISELIN, NJ 08830-2241
(732) 887-9208
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05659300
NJ
Other
Enumeration date
06/02/2015
Last updated
11/10/2015
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