Individual
STACY MOSKOWITZ CANCELARICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1182 TEANECK RD, TEANECK, NJ 07666-4824
(917) 670-0469
Mailing address
160 WASHINGTON AVE, HILLSDALE, NJ 07642-2818
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05537800
NJ
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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