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Individual

MS. DAHIANA P. GRISALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
186 E BLACKWELL ST, DOVER, NJ 07801-4169
(973) 314-2929
Mailing address
94 ORAM DR, SALEM VILLAGE, DOVER, NJ 07801-4719
(973) 979-3692

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC 05389400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
44SC 05389400
SOCIAL WORK LICENSE, LCSW
NJ
01
587351
SCHOOL SOCIAL WORKER CERTIFICATION
NJ
Enumeration date
08/22/2008
Last updated
09/18/2025
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