Individual
PHILIP MARRONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
1 LUPTON AVE, WOODBURY, NJ 08096-5901
(693) 577-5856
Mailing address
1 LUPTON AVE, WOODBURY, NJ 08096-5901
(856) 693-5775
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
44SL07109200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005596
—
NJ
Enumeration date
12/09/2022
Last updated
09/06/2024
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