Organization
STEPHANIE IANNELLI LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE IANNELLI LCSW (SOLE MEMBER)
(848) 251-2642
Entity
Organization
Contact information
Practice address
250 WASHINGTON STREET, SUITE A2, TOMS RIVER, NJ 08753
(848) 251-2642
(848) 251-2641
Mailing address
250 WASHINGTON ST STE A2, TOMS RIVER, NJ 08753-7575
(848) 251-2642
(848) 251-2641
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
44SC05660900
NJ
Other
Enumeration date
07/25/2017
Last updated
07/21/2022
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