Individual
EMMANUEL V REGISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Contact information
Practice address
893 BROADWAY STE 736, BAYONNE, NJ 07002-3053
(201) 858-1119
Mailing address
PO BOX 736, BAYONNE, NJ 07002-0736
(201) 858-1119
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL0588650
NJ
Other
Enumeration date
08/24/2016
Last updated
12/01/2022
About Stedi
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