| Daniela De Sa Lcsw Llc | |
|
473 Broadway Ste 202 Bayonne NJ 07002-3680 | |
| (908) 899-1936 | |
| Not Available |
| Full Name | Daniela De Sa Lcsw Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 473 Broadway Ste 202, Bayonne, New Jersey |
| Authorized Official Name and Position | Daniela De Sa (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9088991936 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniela De Sa Lcsw Llc 473 Broadway Ste 202 Bayonne NJ 07002-3680 Ph: (908) 899-1936 | Daniela De Sa Lcsw Llc 473 Broadway Ste 202 Bayonne NJ 07002-3680 Ph: (908) 899-1936 |
| NPI Number | 1518463819 |
|---|---|
| Provider Enumeration Date | 04/04/2018 |
| Last Update Date | 04/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518463819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 44SC05689300 (New Jersey) | Primary |
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