Individual
MS. MARISSA DELLAFAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAC
Contact information
Practice address
661 SHREWSBURY AVE, SHREWSBURY, NJ 07702-4183
(732) 345-3410
Mailing address
661 SHREWSBURY AVE, SHREWSBURY, NJ 07702-4183
(732) 345-3410
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37AC00271000
NJ
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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