Individual
MARCIO SANCHES DA SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW, LCADC
Contact information
Practice address
25 BROAD ST FL 2, ELIZABETH, NJ 07201-2201
(908) 906-7559
Mailing address
220 W JERSEY ST APT 12E, ELIZABETH, NJ 07202-1309
(973) 634-6462
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00297100
NJ
104100000X
Social Worker
44SL06461900
NJ
1041S0200X
School Social Worker
1024881
NJ
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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