Individual
MS. LISA SEBRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3226 RACHEL TER, PINE BROOK, NJ 07058
(973) 223-7051
Mailing address
3226 RACHEL TER, PINE BROOK, NJ 07058-9371
(973) 223-7051
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041S0200X
School Social Worker
Primary
1064524
NJ
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/07/2018
Last updated
02/14/2019
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