Individual
ALIZA BACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 HEKEL RD, LAKEWOOD, NJ 08701-5264
(516) 567-7288
Mailing address
10 HEKEL RD, LAKEWOOD, NJ 08701-5264
(516) 567-7288
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05916600
NJ
Other
Enumeration date
12/25/2013
Last updated
12/25/2013
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