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Individual

BINYAMIN NUSSBAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
500 W KENNEDY BLVD, LAKEWOOD, NJ 08701-1254
(732) 901-6001
Mailing address
112 LIBERTY BELL RD, TOMS RIVER, NJ 08755-0914
(732) 228-0257

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
NJ
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
44SC06131500
NJ

Other

Enumeration date
01/16/2023
Last updated
01/15/2025
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