Doctor Name: | STEPHANIE MAKOW |
NPI Number: | 1174958219 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LSW |
License Number: | 902412 |
Business Practice Address: | 615 Lacey Rd Suite 3 Forked River, NJ - 087312200 |
Business Phone Number: | 6092423322 |
Business Fax Number: | |
Mailing Address: | 615 Lacey Rd, Suite 3 FORKED RIVER |
State: | NJ |
Postal Code: | 087312200 |
Phone Number: | 6092423322 |
Fax Number: | |
NPI Enumeration Date: | 09/09/2013 |
NPI Last Update Date: | 09/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | 902412 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |