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Organization
DANIELA DE SA LCSW LLC
Active
Organization
DANIELA DE SA LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELA DE SA LCSW (LICENSED CLINICAL SOCIAL WORKER)
(908) 899-1936
Entity
Organization
Contact information
Practice address
473 BROADWAY STE 202, BAYONNE, NJ 07002-3680
(908) 899-1936
Mailing address
473 BROADWAY STE 202, BAYONNE, NJ 07002-3680
(908) 899-1936
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
44SC05689300
NJ
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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