Individual
CHAVA BASYA GANZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 NJ-88, BRICK, NJ 08724
(732) 367-4700
Mailing address
6 FILLMORE AVE BSMT, LAKEWOOD, NJ 08701-5665
(516) 273-5324
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06405100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
Enumeration date
11/14/2018
Last updated
11/14/2018
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