Individual
JACE ARLISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 AIRPORT RD, LAKEWOOD, NJ 08701-5907
(732) 757-9014
Mailing address
700 AIRPORT RD, LAKEWOOD, NJ 08701-5907
(732) 757-9014
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06013700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
Enumeration date
10/18/2016
Last updated
10/18/2016
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