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Organization
MARY R. MASTRIA, PHD, LCSW, LLC
Active
Organization
MARY R. MASTRIA, PHD, LCSW, LLC
Active
Other names
mary r mastria, phd, lcsw
Organization subpart
No
Provider details
NPI number
Authorized official
MARY R RICCIARDI-MASTRIA (EMPLOYER)
(908) 277-1411
Entity
Organization
Contact information
Practice address
57 UNION PL, SUITE 212, SUMMIT, NJ 07901-2568
(908) 277-1411
Mailing address
57 UNION PL, SUITE 212, SUMMIT, NJ 07901-2568
(908) 277-1411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04597400
NJ
Other
Enumeration date
10/23/2014
Last updated
11/23/2022
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