| Anne Lisciotto Lcsw Llc | |
|
24 Godwin Ave Midland Park NJ 07432-1927 | |
| (646) 831-8754 | |
| Not Available |
| Full Name | Anne Lisciotto Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 24 Godwin Ave, Midland Park, New Jersey |
| Authorized Official Name and Position | Anne Lisciotto (SOCIAL WORKER) |
| Authorized Official Contact | 6468318754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anne Lisciotto Lcsw Llc 204 Virginia Ave Fort Lee NJ 07024-4324 Ph: (646) 831-8754 | Anne Lisciotto Lcsw Llc 24 Godwin Ave Midland Park NJ 07432-1927 Ph: (646) 831-8754 |
| NPI Number | 1629740493 |
|---|---|
| Provider Enumeration Date | 09/30/2021 |
| Last Update Date | 09/30/2021 |
| Certification Date | 09/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629740493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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