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Individual

ALYSSA LYN CANTIN GILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
415 ROUTE 34, SUITE 111, COLTS NECK, NJ 07722-2522
(732) 320-0515
Mailing address
415 ROUTE 34, SUITE 111, COLTS NECK, NJ 07722-2522

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL05838500
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05624800
NJ

Other

Enumeration date
06/04/2014
Last updated
12/01/2016
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