Individual
MRS. FAITH DANIELLE FISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
655 WESTFIELD AVE, ELIZABETH, NJ 07208-1325
(908) 352-8375
(908) 352-8858
Mailing address
16 FAIRBANKS ST, HILLSIDE, NJ 07205-2815
(908) 737-0971
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05398100
NJ
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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