Provider Demographics
NPI:1689875619
Name:VILLAR, MARIA ISABEL (MSW)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:ISABEL
Last Name:VILLAR
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:ISABEL
Other - Last Name:SARAPURA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:23 MARTIN AVE
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08837-3440
Mailing Address - Country:US
Mailing Address - Phone:732-662-7383
Mailing Address - Fax:732-662-7383
Practice Address - Street 1:23 MARTIN AVE
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08837-3440
Practice Address - Country:US
Practice Address - Phone:732-662-7383
Practice Address - Fax:732-662-7383
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker