Ayala Back, LCSW
NPI #1073088159 in Lakewood, New Jersey
Provider Information
- NPI Number
- 1073088159
- Entity Type
- Individual
- Name
- Ayala Back, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Oct 4, 2018
- Last Updated
- Mar 15, 2022
Practice Location
- Address
- 701 CROSS ST
- City
- Lakewood
- State
- New Jersey
- ZIP Code
- 08701-4029
- Phone
- (732) 267-7879
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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