Individual
ABBY FOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
368 LAKEHURST DRIVE, TOMS RIVER, NJ 08755
(732) 244-2076
Mailing address
368 LAKEHURST RD, TOMS RIVER, NJ 08755-7339
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SC05792600
NJ
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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