Provider Information for 1053401976
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Miss MICHELLE ANNE CASTELLANI LCSW
Sex: Female
NPI: 1053401976
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1053401976 | ||||||||
| Enumeration Date | 2006-10-13 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 69 E CLIFF ST SOMERVILLE, NJ 08876-1908 United States Phone: 908-393-2080 | Fax: | ||||||||
| Primary Practice Address | 131 W HIGH ST SOMERVILLE, NJ 08876-2108 United States Phone: 908-727-0217 | Fax: | ||||||||
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