Individual
RISA B AGIN LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
336 W PASSAIC ST, 4TH FLOOR, ROCHELLE PARK, NJ 07662-3027
(201) 845-7030
(201) 845-0899
Mailing address
336 W PASSAIC ST, 4TH FLOOR, ROCHELLE PARK, NJ 07662-3027
(201) 845-7030
(201) 845-0899
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
44SC04902500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44SC04902500
NJ LCSW
NJ
Enumeration date
03/29/2007
Last updated
07/08/2007
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