Individual
MS. KENDRA CARBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW, CCTP
Contact information
Practice address
166 MAIN ST, MATAWAN, NJ 07747-3104
(732) 566-0433
Mailing address
109 DANIELE DR APT SUITE, OCEAN, NJ 07712-7937
(973) 934-6744
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06502500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
971472742
UNITED HEALTH CARE
NJ
Enumeration date
09/16/2020
Last updated
09/16/2020
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