Individual
ODESSA S INCORVAIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
22-08 ROUTE 208, FAIR LAWN, NJ 07410-2609
(844) 978-0008
Mailing address
1407 VALLEY RD APT F, WAYNE, NJ 07470-8022
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07036800
NJ
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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