Individual
MRS. DEIDRE STAMOS LONZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Contact information
Practice address
800 RIVERVIEW DR STE 104, BRIELLE, NJ 08730-1749
(732) 526-5562
Mailing address
2501 AUTUMN DR, MANASQUAN, NJ 08736-2134
(732) 859-5516
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00296400
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05829200
NJ
Other
Enumeration date
04/10/2022
Last updated
04/10/2022
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