Individual
MR. DENISE N IMUNDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
570 LEE ST, PERTH AMBOY, NJ 08861-3053
(732) 376-6700
Mailing address
142 ELLENEL BLVD, SPOTSWOOD, NJ 08884-1133
(732) 416-1031
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04889300
NJ
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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