Individual
MS. DANA RISTESKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
101 MOUNTAIN CT STE 101B, HACKETTSTOWN, NJ 07840-2300
(908) 674-5407
Mailing address
PO BOX 75, HOPE, NJ 07844-9800
(908) 674-5407
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL05787500
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05645300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174050256
NPI FOR LLC
NJ
Enumeration date
10/02/2014
Last updated
07/21/2022
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