Individual
MS. DOREEN MARIE PONTIUS-MOLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
2 PARK AVE, DUMONT, NJ 07628-3004
(201) 385-4400
(201) 385-9689
Mailing address
841 PALMER AVE, MAYWOOD, NJ 07607-1719
(201) 556-1752
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05534700
NJ
Other
Enumeration date
04/10/2007
Last updated
07/21/2022
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