Stephanie Sample, LSW

NPI #1043029622 in Orange, New Jersey

Provider Information

NPI Number: 1043029622
Entity Type: Individual
Name: Stephanie Sample, LSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Jan 7, 2025
Last Updated: Jan 7, 2025

Practice Location

Address: 394 PARK AVE APT A17
City: Orange
State: New Jersey
ZIP Code: 07050-2836
Phone: (201) 306-8810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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