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1083039143
MARISSA MCCARTHY CANONICO
RED BANK, NJ
NPI
1083039143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SL05901800)
Enumeration Date
2014-02-26
Last Update Date
2021-08-06
Business Address
Miss MARISSA MCCARTHY CANONICO LSW
1 RIVERVIEW PLZ
RED BANK, NJ 07701-1864
Phone number: 732-530-2438
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Mailing Address
Miss MARISSA MCCARTHY CANONICO LSW
388 RIVERDALE DR
KEYPORT, NJ 07735-5023
Phone number: 732-530-2438
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