Organization
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Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARISA MONTALVO STEFANI LCSW (OWNER/PSYCHOTHERAPIST)
(732) 380-7449
Entity
Organization
Contact information
Practice address
704 GINESI DR, MORGANVILLE, NJ 07751-1249
(732) 380-7449
Mailing address
704 GINESI DR, MORGANVILLE, NJ 07751-1249
(732) 380-7449
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05336400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730375544
NPI INDIVIDUAL
NJ
Enumeration date
01/22/2018
Last updated
07/07/2022
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