Individual
MS. MARISSA CATHERINE COSTANTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4161 TAMIAMI TRL STE 602, PORT CHARLOTTE, FL 33952-9283
(941) 235-2710
Mailing address
12 DOGWOOD DR, BARNEGAT, NJ 08005-3102
(732) 801-5053
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
32762
MD
104100000X
Social Worker
Primary
44SL07043700
NJ
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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