Individual
MRS. LARISA MEZHIBORSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
525 ROUTE 73 N STE 104, MARLTON, NJ 08053-3422
(347) 840-3173
Mailing address
28 WARREN RD, FAIR LAWN, NJ 07410-3318
(347) 840-3173
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW-GTL-20-01728
NJ
Other
Enumeration date
04/22/2021
Last updated
08/25/2024
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