Provider Demographics
NPI:1720306434
Name:MARSTON, AIMEE LEE (LCSW)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:LEE
Last Name:MARSTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 ESSEX STREET
Mailing Address - Street 2:SUITE 206
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-4035
Mailing Address - Country:US
Mailing Address - Phone:973-626-3777
Mailing Address - Fax:
Practice Address - Street 1:75 ESSEX STREET
Practice Address - Street 2:SUITE 206
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-4035
Practice Address - Country:US
Practice Address - Phone:973-626-3777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-06
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052152001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical