Iesha Agnes Crandon, LCSW Valid NPI

Individual provider · Clinical Social Worker · Haledon, NJ

NPI

1467812990

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

44SC05868700 (NJ)

Sex

Female

Sole proprietor

Yes

Enumerated

2016-02-25

Last updated

2020-10-17