Individual
MR. BART MONGIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
301 SICOMAC AVE, WYCKOFF, NJ 07481-2159
(201) 848-5220
Mailing address
22 LIBBY AVE, POMPTON PLAINS, NJ 07444-1610
(973) 839-7096
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00168500
NJ
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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