Virginia D. Mac Isaac, Lcsw, Llc

NPI 1871531798 - Social Worker - 1041C0700X

NPI Details
NPI 1871531798
Enumeration Date 06/03/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name VIRGINIA D. VIRGINIA
Position MANAGING MEMBER
Phone (201) 444-3533
Fax
Practice Location
323 GODWIN AVE
MIDLAND PARK NJ, 07432-1501, US
Phone (201) 444-3533
Fax
Business Location
615 BLUE RIDGE LN
MAHWAH NJ, 07430-3417, US
Phone (201) 444-3533
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State New Jersey
License Number 44SC05172200
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According to our database, Virginia D. Mac Isaac, Lcsw, Llc NPI is 1871531798, taxonomy code is 1041C0700X and license number is 44SC05172200, license state is located at New Jersey. Virginia D. Mac Isaac, Lcsw, Llc physically located at 323 Godwin Ave, Midland Park NJ, 07432-1501. NPI Number 1033115704 has the healthcare provider type.

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1871531798 NPI number is provided on an as is basis without warranty of any kind. 1871531798 is maintained by the National Plan & Provider Enumeration System. The contents of Virginia D. Mac Isaac, Lcsw, Llc are for informational purposes only.