Individual
BREANNA POLISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
217 E MAIN ST, ROCKAWAY, NJ 07866-3602
(973) 983-3919
Mailing address
10 HEWLETT RD, TOWACO, NJ 07082-1308
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SL07227100
NJ
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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