Individual
REBECCA SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6045 KENNEDY BLVD STE A, NORTH BERGEN, NJ 07047-3246
(201) 293-0976
(201) 861-0941
Mailing address
38 MEADOWLANDS PKWY STE 205, SECAUCUS, NJ 07094-2925
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SC05735500
NJ
Other
Enumeration date
09/22/2017
Last updated
09/22/2017
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