Individual
STEPHANIE MARIE IGLESIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, PHD
Contact information
Practice address
677 ROSEMONT AVE, NEWFIELD, NJ 08344-5238
(856) 300-9308
Mailing address
677 ROSEMONT AVE, NEWFIELD, NJ 08344-5238
(856) 300-9308
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06357800
NJ
Other
Enumeration date
06/30/2018
Last updated
06/30/2018
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