Individual
MURIELLE TASSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
12B BYRNE CT, WAYNE, NJ 07470-3633
(862) 324-2421
Mailing address
12B BYRNE CT, WAYNE, NJ 07470-3633
(862) 324-2421
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
44SW05438900
NJ
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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