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1104509967
SAMANTHA JO VISCUSO
ROCKAWAY, NJ
NPI
1104509967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC05943000)
Enumeration Date
2023-08-09
Last Update Date
2023-08-09
Business Address
Ms. SAMANTHA JO VISCUSO LCSW
13 CALUMET AVE
ROCKAWAY, NJ 07866-1801
Phone number: 551-580-4950
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Mailing Address
Ms. SAMANTHA JO VISCUSO LCSW
13 CALUMET AVE
ROCKAWAY, NJ 07866-1801
Phone number: 551-580-4950
Copy
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