Individual
MRS. TERESA ANN MARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A
Contact information
Practice address
17-07 ROMAINE ST, FAIR LAWN, NJ 07410-2150
(201) 797-2660
Mailing address
2 DALERON PL, LAURENCE HARBOR, NJ 08879-2903
(201) 961-3853
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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