Individual
ALLISON M DIERKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
591 LAKEHURST RD, TOMS RIVER, NJ 08755-8045
(732) 244-3002
Mailing address
PO BOX 2036, LAKEWOOD, NJ 08701-8036
(732) 244-3002
(732) 349-5145
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05396100
NJ
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
Enumeration date
04/01/2021
Last updated
04/01/2021
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