Individual
DIANNA KISSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MIDDLESEX TPKE STE 102, ISELIN, NJ 08830-2033
(732) 655-6339
Mailing address
200 MIDDLESEX TPKE STE 102, ISELIN, NJ 08830-2033
(732) 655-6339
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06428300
NJ
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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