Organization
JOANNE STAVOLA LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE C STAVOLA LCSW (SOLE PROPRIETOR)
(732) 403-9326
Entity
Organization
Contact information
Practice address
130 MAPLE AVE, SUITE 5B, RED BANK, NJ 07701-1734
(732) 403-9326
(732) 224-0494
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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