Individual
CHRISTINA SOUBASIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
81 NAUTILUS DR, MANAHAWKIN, NJ 08050-2448
(609) 597-5327
(609) 597-6684
Mailing address
160 ATLANTIC CITY BLVD, BAYVILLE, NJ 08721-1229
(732) 349-1977
(732) 349-0841
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05262100
NJ
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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