Individual
JENNI LIEBIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
17-07 ROMAINE ST, FAIR LAWN, NJ 07410-2150
(201) 797-2660
Mailing address
53 WHITE MEADOW AVE, ROCKAWAY, NJ 07866-2609
(201) 797-2660
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05382200
NJ
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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