ELISABETH MARY MEDINO

POMPTON LAKES, NJ
NPI1396247342
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NJ  44SC05963500)
Additional Taxonomies104100000X Social Worker
(Licence: NJ  44SL06073800)
Enumeration Date2018-03-06
Last Update Date2021-02-18
Business Address
ELISABETH MARY MEDINO LCSW
38 CHESTNUT AVE
POMPTON LAKES, NJ 07442-2406
Phone number: 973-907-4908
Mailing Address
ELISABETH MARY MEDINO LCSW
38 CHESTNUT AVE
POMPTON LAKES, NJ 07442-2406
Phone number: 973-907-4908