Individual
HEIDI HAIKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 BERGEN ST, 818, NEWARK, NJ 07107-3001
(972) 972-0405
Mailing address
65 BERGEN ST, 818, NEWARK, NJ 07107-3001
(972) 972-0405
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00276600
NJ
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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