Individual
LARISSA MAE SAVERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
860 WYCKOFF AVE, MAHWAH, NJ 07430-3186
(201) 485-7172
Mailing address
860 WYCKOFF AVE, MAHWAH, NJ 07430-3186
(201) 485-7172
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00342900
NJ
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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