Individual
MS. CARIS DECENTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
54 IDLEWILD RD, EDISON, NJ 08817-4147
(732) 801-9532
Mailing address
54 IDLEWILD RD, EDISON, NJ 08817-4147
(732) 801-9532
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06590300
NJ
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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