Organization
JANINE MARIS LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANINE MARIS LCSW (OWNER)
(973) 300-4110
Entity
Organization
Contact information
Practice address
93 MAIN ST, SUITE 300, NEWTON, NJ 07860-2056
(973) 300-4110
(973) 579-9007
Mailing address
PO BOX 658, AUGUSTA, NJ 07822-0658
(973) 300-4110
(973) 579-9007
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05214800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44SC05214800
STATE LICENSE
NJ
Enumeration date
10/09/2008
Last updated
02/05/2009
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