Individual
DANIEL Z IFRAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
1771 MADISON AVE, LAKEWOOD, NJ 08701-1251
(732) 364-2144
(732) 364-3559
Mailing address
1771 MADISON AVE, LAKEWOOD, NJ 08701
(732) 364-2144
(732) 364-3559
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05451300
NJ
Other
Enumeration date
03/28/2011
Last updated
03/28/2011
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