Individual
ANNA KLISIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7857
Mailing address
17 ELM LN, LAKE HIAWATHA, NJ 07034-1104
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05700800
NJ
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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