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Organization

ANNETTE GENOVESE LCSW

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANNETTE GENOVESE LCSW (LICENSED CLINICAL SOCIAL WORKER)
(201) 615-1540
Entity
Organization

Contact information

Practice address
40885 QUAIL ST, MATTAWAN, MI 49071-8350
(201) 615-1540
Mailing address
40885 QUAIL ST, MATTAWAN, MI 49071-8350
(201) 615-1540

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
01/04/2024
Last updated
01/04/2024
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