Individual
MRS. MARY VIVELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
540 ROUTE 22, BRIDGEWATER, NJ 08807-2405
(908) 722-1881
(908) 704-0215
Mailing address
540 ROUTE 22, BRIDGEWATER, NJ 08807-2405
(908) 722-1881
(908) 704-0215
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05522100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222423496
—
NJ
Enumeration date
01/13/2010
Last updated
01/13/2010
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