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NPI Code Detail

MEDICARE: AVIGAIL KRANCER LSW, EFL FACILITATOR

MEDICARE: AVIGAIL KRANCER LSW, EFL FACILITATOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker44SL06866800NJ

General Provider Information

NPI Number : 1730902388
Entity Type Code : Individual
Provider Name (Legal Business Name) : AVIGAIL KRANCER LSW, EFL FACILITATOR
Provider Business Mailing Address
First Line : 4 STACY CT
Second Line :
City : JACKSON
State : NJ
Zip : 08527-2912
Country : US
Telephone Number : 732-569-0199
Fax Number :
Provider Business Practice Location Address
First Line : 4 STACY CT
Second Line :
City : JACKSON
State : NJ
Zip : 08527-2912
Country : US
Telephone Number : 732-569-0199
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2024
Last Update Date : 12/23/2025

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