Individual
MRS. STEPHANIE LYNN PAVESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
143 LANDING RD, LANDING, NJ 07850-1507
(973) 770-7077
Mailing address
12 BROAD AVE, STANHOPE, NJ 07874-3412
(973) 426-1046
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
46TR00276100
NJ
Other
Enumeration date
07/06/2008
Last updated
07/06/2008
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