Individual
STACEY A FORTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPRS
Contact information
Practice address
150 BRICK BLVD, BRICK, NJ 08723-7182
(908) 613-8080
(732) 458-2185
Mailing address
150 BRICK BLVD, BRICK, NJ 08723-7182
(908) 613-8080
(732) 458-2185
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
571
NJ
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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