Organization
MARIA ELENA PSYCHOLOGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA ELENA MISITO-KLOSS LCSW (PSYCHOTHERAPIST/OWNER)
(973) 903-1109
Entity
Organization
Contact information
Practice address
967 HAMBURG TPKE, WAYNE, NJ 07470-3263
(973) 903-1109
Mailing address
967 HAMBURG TPKE, WAYNE, NJ 07470-3263
(973) 903-1109
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05809000
NJ
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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