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Individual
LISA MARIE WEISS
Active
Individual
LISA MARIE WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL06487500
NJ
1041C0700X
Clinical Social Worker
Primary
44SC06061600
NJ
Other
Enumeration date
06/25/2019
Last updated
05/09/2024
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