Individual
MIKEL JURIS KRASTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, MSW, LMSW, LSW
Contact information
Practice address
238 EVERETT AVE, WYCKOFF, NJ 07481-1952
(201) 543-1402
Mailing address
238 EVERETT AVE, WYCKOFF, NJ 07481-1952
(201) 543-1402
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06679200
NJ
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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