Individual
UMME HABIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
561 TILTON RD, NORTHFIELD, NJ 08225-1217
(800) 433-7365
Mailing address
3415 WINCHESTER AVE, ATLANTIC CITY, NJ 08401-3506
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW-GTL-20-01173
NJ
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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