Individual
MISS DANA LAUREN CARBONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
169 MAPLEWOOD AVE # 4, MAPLEWOOD, NJ 07040-2573
(973) 902-8700
Mailing address
169 MAPLEWOOD AVE # 4, MAPLEWOOD, NJ 07040-2573
(973) 902-8700
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37FI00195800
NJ
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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