Individual
ALICIA MICHELLE HAVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
30 PROSPECT AVE STE 3, HACKENSACK, NJ 07601-1915
(551) 996-2237
Mailing address
3600 ROUTE 66 FL 3, NEPTUNE, NJ 07753-2645
(732) 807-0877
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
14444
MD
1041C0700X
Clinical Social Worker
Primary
44SC05381400
NJ
Other
Enumeration date
11/24/2008
Last updated
10/23/2023
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