Individual
MIKAKO PUGLIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CLARA MAASS DR, BELLEVILLE, NJ 07109-3550
(973) 844-4353
Mailing address
PO BOX 360, WEST MILFORD, NJ 07480-0360
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06493900
NJ
Other
Enumeration date
09/02/2019
Last updated
01/18/2021
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