Individual
FRANCESCA TATIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
615 N BROAD ST, ELIZABETH, NJ 07208-3409
(908) 721-6176
Mailing address
615 N BROAD ST, ELIZABETH, NJ 07208-3409
(908) 721-6176
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05756100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639294879
—
NJ
Enumeration date
02/24/2022
Last updated
02/24/2022
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