Individual
STEPHANIE DAMIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(973) 429-6260
Mailing address
84 RAFKIND RD, BLOOMINGDALE, NJ 07403-1550
(973) 800-6120
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06304500
NJ
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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