Provider Demographics
NPI:1821647256
Name:TORREZ, CLAUDIA FAWN (LSW)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:FAWN
Last Name:TORREZ
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:951 ROUTE 73 N STE B
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-1279
Mailing Address - Country:US
Mailing Address - Phone:856-424-4408
Mailing Address - Fax:856-596-9164
Practice Address - Street 1:951 ROUTE 73 N STE B
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-1279
Practice Address - Country:US
Practice Address - Phone:856-424-4408
Practice Address - Fax:856-596-9164
Is Sole Proprietor?:No
Enumeration Date:2019-09-09
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06475800104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker