| Kelly Canzone, Lcsw, Llc | |
|
129 - 131 Rt. 183 North 2nd Floor, Suite 2 Stanhope NJ 07874 | |
| (973) 886-2222 | |
| Not Available |
| Full Name | Kelly Canzone, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 129 - 131 Rt. 183 North, Stanhope, New Jersey |
| Authorized Official Name and Position | Kelly Clare Canzone (OWNER) |
| Authorized Official Contact | 9738862222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Canzone, Lcsw, Llc 8 W Lake Dr Stanhope NJ 07874-3018 Ph: (973) 886-2222 | Kelly Canzone, Lcsw, Llc 129 - 131 Rt. 183 North 2nd Floor, Suite 2 Stanhope NJ 07874 Ph: (973) 886-2222 |
| NPI Number | 1124117007 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124117007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05283700 (New Jersey) | Primary |
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