Individual
GRACEANN FONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 ROUTE 88, BRICK, NJ 08724-2320
(732) 785-1900
Mailing address
PO BOX 2036, LAKEWOOD, NJ 08701-8036
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07240700
—
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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