Individual
DANIELLE GUARDINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
725 AIRPORT ROAD, PREFERRED BEHAVIORAL HEALTH OF NJ IOTSS, LAKEWOOD, NJ 08701
(732) 367-8859
(732) 364-8242
Mailing address
243 CENTRAL BLVD, BAYVILLE, NJ 08721-2430
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SL05520100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
Enumeration date
04/30/2009
Last updated
04/30/2009
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