Individual
MR. MITCHELL JAY KLEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14 FARBER RD, PRINCETON, NJ 08540-5913
(732) 995-4824
Mailing address
108 SHINNECOCK DR, MANALAPAN, NJ 07726-9501
(732) 995-4824
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06050700
NJ
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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