Individual
MARY MASSARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NCPSYA
Contact information
Practice address
12 S MOUNTAIN AVE, #19, MONTCLAIR, NJ 07042-1750
(973) 568-8112
Mailing address
12 S MOUNTAIN AVE, #19, MONTCLAIR, NJ 07042-1750
(973) 568-8112
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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