Individual
ELIZABETH WISNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
935 GARFIELD AVE, JERSEY CITY, NJ 07304-2731
(201) 478-5800
Mailing address
2007 FAIRWAY DR, SPRING LAKE, NJ 07762-2529
(973) 903-8981
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SL06686600
NJ
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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