Individual
MICHENA MARESCOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7612 PARK AVE APT A3, NORTH BERGEN, NJ 07047-5585
(203) 522-1641
Mailing address
7612 PARK AVE APT A3, NORTH BERGEN, NJ 07047-5585
(120) 352-2164
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
114908
NY
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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