Individual
MS. MARIA ELENA MISITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
227 HAMBURG TPKE, POMPTON LAKES, NJ 07442-1847
(973) 903-1109
Mailing address
227 HAMBURG TPKE, POMPTON LAKES, NJ 07442-1847
(973) 903-1109
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
44SC052812000
NJ
Other
Enumeration date
05/28/2007
Last updated
07/08/2007
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