Doctor Name: | MS. ANNMARIE IUNI-DODGE |
NPI Number: | 1063636066 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | |
Business Practice Address: | 617 Union Ave Building 2, Suite 13 Brielle, NJ - 087301838 |
Business Phone Number: | 7329742827 |
Business Fax Number: | 7328862671 |
Mailing Address: | 617 Union Ave, Building 2, Suite 13 BRIELLE |
State: | NJ |
Postal Code: | 087301838 |
Phone Number: | 7329742827 |
Fax Number: | 7328862671 |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 03/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |