Individual
JUSTIN BAUTISTA CARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
550 BROAD ST STE 606, NEWARK, NJ 07102-4537
(201) 822-1161
Mailing address
1430 RATZER RD, WAYNE, NJ 07470-2430
(862) 337-1553
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06485400
NJ
Other
Enumeration date
10/25/2023
Last updated
12/22/2023
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