MRS. Rachel Lynn Fornicola, LCSW
NPI #1154972560 in West Long Branch, New Jersey
Provider Information
- NPI Number
- 1154972560
- Entity Type
- Individual
- Name
- MRS. Rachel Lynn Fornicola, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Sep 26, 2019
- Last Updated
- Oct 17, 2022
Practice Location
- Address
- 33 COMMUNITY DR
- City
- West Long Branch
- State
- New Jersey
- ZIP Code
- 07764-1663
- Phone
- (732) 682-3057
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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