Paul Mennona, LCSW Valid NPI

Individual provider · Clinical Social Worker · Old Bridge, NJ

NPI

1952467326

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

44SC04935800 (NJ)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-12-29

Last updated

2007-07-08