Individual
MS. MARILYN M. FORTUNATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 RIVERVIEW PLZ, RED BANK, NJ 07701-1864
(732) 530-2438
Mailing address
4 STILLWELL DR, HOLMDEL, NJ 07733-1928
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
44SL05043200
NJ
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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