Individual
MR. DANIEL E ZIETCHICK
Active
Individual
MR. DANIEL E ZIETCHICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC00352900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053396000
MAGELLAN
NJ
01
—
11235214
CAQH
NJ
Enumeration date
01/11/2007
Last updated
04/09/2010
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