Individual
DHESYRE NOVOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
90 3RD AVE # 2, HAWTHORNE, NJ 07506-2414
(973) 348-5594
Mailing address
PO BOX 1586, PATERSON, NJ 07509-1586
(973) 348-5594
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/20/2020
Last updated
03/09/2020
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