Individual
DOMINIQUE ANN FOCAZIO-MARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
17 S FRANKLIN TPKE, RAMSEY, NJ 07446-2552
(646) 637-4201
Mailing address
579 W CRESCENT AVE, ALLENDALE, NJ 07401-1916
(646) 637-4201
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SL06451600
NJ
Other
Enumeration date
10/06/2019
Last updated
10/06/2019
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