Individual
MARISA LUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 OMAHA AVE, ROCKAWAY, NJ 07866-1914
(973) 626-5740
Mailing address
23 OMAHA AVE, ROCKAWAY, NJ 07866-1914
(973) 626-5740
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07063900
NJ
1041S0200X
School Social Worker
01715948
NJ
106H00000X
Marriage & Family Therapist
37FA00040500
NJ
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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