Individual
MS. AVIVA BIRNBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
230 OAK KNOLL RD, LAKEWOOD, NJ 08701-1668
(732) 598-2726
Mailing address
230 OAK KNOLL RD, LAKEWOOD, NJ 08701-1668
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05782400
NJ
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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