Licia A Nusbaum-Brannigan, LSW Valid NPI
Individual provider · Clinical Social Worker · Franklin Park, NJ
- NPI
- 1538539648
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 44SL05919000 (NJ)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2015-10-01
- Last updated
- 2015-10-01
Practice location
103 Crabapple Ln
Franklin Park, NJ 08823-1419
(845) 304-7194