Individual
DANIELLE N. MALYSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
130 POWERVILLE RD, BOONTON, NJ 07005
(973) 316-1981
(973) 299-5466
Mailing address
130 POWERVILLE RD, BOONTON, NJ 07005-8705
(973) 316-1981
(973) 299-5466
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06395700
NJ
Other
Enumeration date
02/17/2017
Last updated
08/06/2018
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