Ian Nussbaum, LSW
NPI #1760974257 in Avenel, New Jersey
Provider Information
- NPI Number
- 1760974257
- Entity Type
- Individual
- Name
- Ian Nussbaum, LSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Credential
- LSW
- Enumeration Date
- May 31, 2018
- Last Updated
- May 31, 2018
Practice Location
- Address
- 1500 SAINT GEORGES AVE STE E
- City
- Avenel
- State
- New Jersey
- ZIP Code
- 07001-1000
- Phone
- (856) 772-5809
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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