Individual
SOPHIA FOUNTOUKIDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
56 DEVONSHIRE DR, SOMERSET, NJ 08873-4948
(732) 844-0349
Mailing address
56 DEVONSHIRE DR, SOMERSET, NJ 08873-4948
(973) 506-9345
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SC06616600
NJ
104100000X
Social Worker
Primary
44SL07018400
NJ
Other
Enumeration date
09/06/2023
Last updated
06/09/2026
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