-- CARISSA BAVOSI -- LCSW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1386904944- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LCSW
- Status
- Active
Contact & Location
- Address
- 905 ABBY RD, MIDDLETOWN, NJ, 077486504
- Phone
- (908) 692-6698
Specialties & Taxonomies
Social Worker, Clinical
Primary License: NJ #44SC05493600
Social Worker, School
License: NJ #563303