Individual
BRIAN DEOLIVEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
151 KNOLLCROFT RD, LYONS, NJ 07939-5001
(908) 647-0180
Mailing address
151 KNOLLCROFT RD, LYONS, NJ 07939-5001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01221987
N/A
—
Enumeration date
07/08/2019
Last updated
05/11/2026
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