Crandon, Iesha Agnes

Crandon, Iesha Agnes is an sole proprietor health care provider with primary practice located at 601 Belmont Ave , Haledon NJ 07508-1629. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Crandon, Iesha Agnes can be contacted via phone (201) 892-2035.

Contact Information

Primary practice address
601 Belmont Ave Haledon NJ 07508-1629
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05868700 New Jersey

Profile Details

NPI number 1467812990
LBN Legal business name Crandon, Iesha Agnes
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2016
Last updated Oct 17th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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