Individual
DALLY MATOS-MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 BROAD ST STE 606, NEWARK, NJ 07102-4537
(201) 822-1161
Mailing address
43 S RIDGE CT, RIDGEFIELD, CT 06877-5420
(425) 458-8525
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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