Individual
MIRIAM YAEL WIELGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 GREENTREE CTR, MARLTON, NJ 08053-3422
(973) 692-8324
Mailing address
111 GREENBRIAR ST, BERGENFIELD, NJ 07621-4226
(973) 294-8816
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06516600
NJ
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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