Individual
MRS. STEPHANIE DEROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
160 ATLANTIC CITY BLVD, BAYVILLE, NJ 08721-1229
(732) 349-5550
Mailing address
14 AQUEDUCT PL, HOWELL, NJ 07731-2400
(732) 804-3247
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00573600
NJ
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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