Individual
MARILENA DESANTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
536 EQUINOX LN, MANALAPAN, NJ 07726-8877
(718) 614-6603
Mailing address
536 EQUINOX LN, MANALAPAN, NJ 07726-8877
(718) 614-6603
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06555600
NJ
Other
Enumeration date
12/08/2021
Last updated
01/03/2022
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