Individual
JUDITH A. DEBLASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
654 E JERSEY ST, ELIZABETH, NJ 07206-1261
(908) 994-7079
Mailing address
654 E JERSEY ST, ELIZABETH, NJ 07206-1261
(908) 994-7079
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05723600
NJ
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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