Individual
KAREN DIANE FORMISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4122 ROUTE 516, MATAWAN, NJ 07747-7031
(732) 679-4500
Mailing address
4122 ROUTE 516, MATAWAN, NJ 07747-7031
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/08/2012
Last updated
01/31/2017
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