Individual
LISA WIATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
953 US HIGHWAY 202 N, BRANCHBURG, NJ 08876-3791
(908) 356-5955
Mailing address
16 CAMPBELL ST, SOUTH AMBOY, NJ 08879-1476
(908) 591-2813
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37AC00729900
NJ
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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