Individual
JOHANNA ROSE DURAZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
444 COVENTRY WAY, GALLOWAY, NJ 08205-6679
(609) 513-4058
Mailing address
444 COVENTRY WAY, GALLOWAY, NJ 08205-6679
(609) 513-4058
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07121300
NJ
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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