Most Relevant Information
Provider Data
| NPI Number: | 1003174673 |
| Provider Name: | ALICIA M AYVAS LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 116812 |
Most Important Dates
| Enumeration Date: | 05/02/2012 |
| Last Updated: | 05/02/2012 |
Provider Practice Location
212 BOULEVARD
HASBROUCK HEIGHTS
NJ
076041802
Practice Location Phone/Fax
| Phone: | 2018032382 |
| Fax: |
Provider Mailing Location
212 BOULEVARD
HASBROUCK HEIGHTS
NJ
076041802
Provider Mailing Phone/Fax
| Phone: | 2018032382 |
| Fax: |