Individual
MS. THERESE M MIERSWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
439 HILLCREST RD, RIDGEWOOD, NJ 07450-1520
(201) 835-6485
Mailing address
439 HILLCREST RD, RIDGEWOOD, NJ 07450-1520
(201) 835-6485
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05903700
NJ
Other
Enumeration date
06/24/2017
Last updated
06/24/2017
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