DARRA LYNN STACK

MANAHAWKIN, NJ
NPI1518536432
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NJ  44SL06415500)
Enumeration Date2021-06-24
Last Update Date2021-06-24
Business Address
DARRA LYNN STACK LCSW
81 NAUTILUS DR
MANAHAWKIN, NJ 08050-2448
Phone number: 732-966-4166
Mailing Address
DARRA LYNN STACK LCSW
65 OXYCOCUS RD
MANAHAWKIN, NJ 08050-2939
Phone number: 609-548-8841