Individual
MISS DANIELA DE SA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
473 BROADWAY STE 202, BAYONNE, NJ 07002-3680
(908) 899-1936
Mailing address
473 BROADWAY STE 202, BAYONNE, NJ 07002-3680
(908) 899-1936
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05689300
NJ
1041S0200X
School Social Worker
961845
NJ
Other
Enumeration date
05/03/2016
Last updated
07/21/2022
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