Individual
CHRISTINA ATHANASATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55A E RIDGEWOOD AVE STE 6, RIDGEWOOD, NJ 07450-3884
(201) 669-4911
(201) 540-8104
Mailing address
55A E RIDGEWOOD AVE STE 6, RIDGEWOOD, NJ 07450-3884
(201) 669-4911
(201) 540-8104
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05335900
NJ
Other
Enumeration date
11/06/2013
Last updated
03/27/2018
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