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Individual

MR. CHRISTOPHER EDMUND DIVIAIO I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
285 EAST MAIN STREET, SOMERVILLE, NJ 08876
(908) 707-0212
(908) 707-8498
Mailing address
285 EAST MAIN STREET, SOMERVILLE, NJ 08876
(908) 707-0212
(908) 707-8498

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SL05814400
NJ

Other

Enumeration date
03/27/2014
Last updated
03/27/2014
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