Individual
MIA TALARICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
LSW
Contact information
Practice address
395 S CENTER ST, ORANGE, NJ 07050-3205
(973) 323-3446
Mailing address
395 S CENTER ST, ORANGE, NJ 07050-3205
(973) 323-3446
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06964700
NJ
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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