ELISSIA FORTY

BLACKWOOD, NJ
NPI1932929502
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NJ  44SL06845000)
Enumeration Date2024-10-16
Last Update Date2024-10-16
Business Address
ELISSIA FORTY LSW
4551 ROUTE 42 STE 5
BLACKWOOD, NJ 08012-1751
Phone number: 856-271-4490
Mailing Address
ELISSIA FORTY LSW
455 PENN BLVD
WOODBURY, NJ 08096-2821
Phone number: 856-271-4490
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