Individual
DENA AGOLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7189
Mailing address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7189
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
44SL06263700
NJ
1041C0700X
Clinical Social Worker
Primary
44SC06122300
NJ
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
165387975
COMMERCIAL INSURANCE
NJ
05
—
3676803
—
NJ
Enumeration date
04/25/2017
Last updated
02/21/2023
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