Individual
LUZ STELLA VIOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
258 MAIN AVE, PASSAIC, NJ 07055-5742
(201) 614-4004
Mailing address
198 SAND RD, FAIRFIELD, NJ 07004-1574
(201) 749-0766
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06594300
NJ
1041S0200X
School Social Worker
1170465
NJ
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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