Individual
MRS. CARLY ANTOINE VIGLIONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
301 SICOMAC AVENUE, WYCKOFF, NJ 07481-0748
(201) 848-5883
Mailing address
15 MALCOLM ST, WALDWICK, NJ 07463-2414
(201) 618-8777
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05820500
NJ
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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