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Organization

MARISSA KOZIAR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARISSA KOZIAR PHD (PSYCHOLOGIST)
(862) 208-9418
Entity
Organization

Contact information

Practice address
138 BEECH ST, NUTLEY, NJ 07110-2116
(862) 208-9418
Mailing address
138 BEECH ST, NUTLEY, NJ 07110-2116
(862) 208-9418

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00486900
NJ

Other

Enumeration date
01/29/2014
Last updated
01/29/2014
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