Individual
MRS. ELISA I ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
570 LEE ST, PERTH AMBOY, NJ 08861
(732) 442-1666
Mailing address
570 LEE ST, PERTH AMBOY, NJ 08861-3053
(732) 442-1666
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05812800
NJ
Other
Enumeration date
10/05/2012
Last updated
05/17/2018
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