Individual provider · NPI-1
Mary Azer, LSW
Counselor · Livingston, NJ
NPI number1962271783
StatusActive
Last updated in NPPESDec 20, 2023
Details
- NPI
- 1962271783
- Entity type
- Individual (NPI-1)
- Name
- Mary Azer
- Credential
- LSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 20, 2023
- Certification date
- Dec 20, 2023
- Last updated
- Dec 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
5 Regent St Ste 518Livingston, NJ 07039-1682
Phone 973-994-1011 · Fax 973-994-1220
Mailing address
18 Sunset Ave Apt 2Bayonne, NJ 07002-2209
Phone 551-208-6340
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