Individual
ELIZABETH SIRACUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 CHANLON RD, NEW PROVIDENCE, NJ 07974-1543
(732) 816-5573
Mailing address
19 WOODLAND TRL, SPARTA, NJ 07871-2618
(917) 797-1138
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06742700
NJ
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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