Mancuso, Gina M
Mancuso, Gina M is an sole proprietor health care provider with primary practice located at 354 Avenue C Penthouse Suite, Bayonne NJ 07002-1412. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mancuso, Gina M can be contacted via phone (201) 535-5959.Contact Information
Primary practice address
354 Avenue C Penthouse Suite
Bayonne NJ 07002-1412
Phone: (201) 535-5959
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC05554400 | New Jersey |
Profile Details
| NPI number | 1538132675 |
|---|---|
| LBN Legal business name | Mancuso, Gina M |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Jun 17th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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