Individual
MARISSA A ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
172 BROADWAY, WOODCLIFF LAKE, NJ 07677-8077
(201) 373-2282
Mailing address
22 BARTHOLDI AVE, HASKELL, NJ 07420-1430
(201) 290-7291
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07212900
NJ
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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