Individual
DEBRA STAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
254B MOUNTAIN AVE STE 202, HACKETTSTOWN, NJ 07840-2413
(908) 979-1144
Mailing address
18 CROMWELL DR, MENDHAM, NJ 07945-2106
(973) 933-2142
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00479800
NJ
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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