Individual
MISS MARISA CHRISTINE BONAMASSA-CIMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
445 BRICK BLVD STE 304, BRICK, NJ 08723-6080
(732) 814-9414
Mailing address
1401 B ST APT 2, BELMAR, NJ 07719-2543
(732) 320-2570
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00637000
NJ
Other
Enumeration date
04/21/2022
Last updated
04/29/2022
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