Individual
MARINA FAWZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 MECHANIC ST STE 203, RED BANK, NJ 07701-1852
(855) 284-7483
(617) 807-0958
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
(855) 284-7483
(617) 807-0958
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07050500
NJ
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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