Individual
SHIRLEY ANN DEKNEGT KUZIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37 MAIN ST STE 1091, SPARTA, NJ 07871-1903
(973) 945-1322
Mailing address
364 E SHORE TRL, SPARTA, NJ 07871-2010
(973) 945-1322
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05525100
NJ
Other
Enumeration date
08/27/2009
Last updated
08/10/2020
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