Individual
MS. ROSE MARY O. AQUAVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
BRANDYWINE WATCHUNG, 680 MOUNTAIN ROD., WATCHUNG, NE 07069
(908) 754-8180
Mailing address
79 MOUNTAIN AVE, SUMMIT, NJ 07901
(973) 592-4233
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04667700
NJ
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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