Individual
LETICIA MARAVILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 PARK ST, MONTCLAIR, NJ 07042-2904
(973) 746-0333
Mailing address
5311 PALISADE AVE APT 5, WEST NEW YORK, NJ 07093-2036
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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