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
Health care specialties
| Specialty | Code | License # | 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 5 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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