Individual
ANNA FUDIM-KIRSHBLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
71 WOODLAND AVE, WEST ORANGE, NJ 07052-2930
(862) 250-2423
Mailing address
71 WOODLAND AVE, WEST ORANGE, NJ 07052-2930
(973) 449-0401
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05795800
NJ
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
12/16/2018
Last updated
02/23/2021
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