Individual
BRIANA DIRUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
16-01 BROADWAY, FAIR LAWN, NJ 07410-2026
(201) 389-5326
Mailing address
16-01 BROADWAY, FAIR LAWN, NJ 07410-2026
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
44SL07210800
NJ
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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