Individual
MS. TARA J BENIGNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
70 PARK ST STE 104, MONTCLAIR, NJ 07042-2960
(908) 248-4442
Mailing address
77 FRANKLIN AVE, MAPLEWOOD, NJ 07040-2908
(718) 757-4803
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06540600
NJ
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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