Individual
DAVID VENTIMIGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
63 BEAVERBROOK RD STE 102, LINCOLN PARK, NJ 07035-1440
(973) 696-0800
Mailing address
63 BEAVERBROOK RD STE 102, LINCOLN PARK, NJ 07035-1440
(973) 696-0800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SL05717000
NJ
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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