LAUREL FASTOW

Social Worker - Clinical

Active Individual
NPI: 1710740659

Practice Address

76 S ORANGE AVE STE 214
South Orange, NJ 07079

Phone: (973) 704-4657

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 44SC00597000 (NJ)

Frequently Asked Questions

NPI 1710740659 is the National Provider Identifier for LAUREL FASTOW, a Social Worker - Clinical provider located in South Orange, NJ. This NPI was enumerated on February 2, 2024.
LAUREL FASTOW practices at 76 S ORANGE AVE STE 214, South Orange, NJ 07079.

Quick Facts

NPI
1710740659
Type
Individual
Enumerated
Feb 2, 2024
Last Updated
Apr 24, 2024

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