Sandra D Ivey-Prusinowski, LCSW
NPI #1154689552 in Maplewood, New Jersey
Provider Information
- NPI Number
- 1154689552
- Entity Type
- Individual
- Name
- Sandra D Ivey-Prusinowski, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker
- Credential
- LCSW
- Enumeration Date
- Apr 24, 2012
- Last Updated
- Jun 29, 2016
Practice Location
- Address
- 2040 MILLBURN AVE STE 205
- City
- Maplewood
- State
- New Jersey
- ZIP Code
- 07040-3716
- Phone
- (201) 207-7268
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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