Individual
BIA KINSBRUNNER ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
99 KINDERKAMACK RD, EMERSON, NJ 07630-1870
(201) 265-2033
(201) 265-8272
Mailing address
99 KINDERKAMACK RD, EMERSON, NJ 07630-1870
(201) 265-2033
(201) 265-8272
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00033200
NJ
1041C0700X
Clinical Social Worker
PR004324-1
NY
Other
Enumeration date
12/05/2006
Last updated
08/04/2008
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