Individual
MISS CLARISSA DAMBRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
377 2ND ST, JERSEY CITY, NJ 07302-2625
(201) 936-6850
Mailing address
PO BOX 2312, SECAUCUS, NJ 07096-2312
(201) 936-6850
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05492900
NJ
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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