AYALA BACK

LAKEWOOD, NJ
NPI1073088159
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NJ  44SC05786100)
Additional Taxonomies1041C0700X Social Worker, Clinical
Enumeration Date2018-10-04
Last Update Date2022-03-15
Business Address
AYALA BACK LCSW
701 CROSS ST
LAKEWOOD, NJ 08701-4029
Phone number: 732-267-7879
Mailing Address
AYALA BACK LCSW
28 MELISSA LEE DR
JACKSON, NJ 08527-5151
Phone number: 732-267-7879