Individual
MS. CAROL JEANNE VIVONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
550 BROAD ST STE 606, NEWARK, NJ 07102-4537
(201) 822-1161
(877) 485-8918
Mailing address
442 MOHAWK DR, BRICK, NJ 08723-8019
(732) 713-0930
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06771000
NJ
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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