Individual
DEVORA MANSBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
210 TUDOR CT, LAKEWOOD, NJ 08701-1473
(732) 415-8956
Mailing address
210 TUDOR CT, LAKEWOOD, NJ 08701-1473
(732) 415-8956
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05643900
NJ
Other
Enumeration date
01/16/2013
Last updated
12/28/2016
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