Individual
MYRA LISA SAMEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
60 WALNUT AVE, FL 2 SUITE 200, CLARK, NJ 07066
(732) 882-1920
(732) 882-1925
Mailing address
152 SCHUYLER AVE, NORTH ARLINGTON, NJ 07031-5412
(973) 687-6668
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06268400
NJ
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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