Individual
MRS. MALKA LISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5 WHITE DOVE CT, LAKEWOOD, NJ 08701-5167
(516) 617-3417
Mailing address
9 HEARTH CT, HOWELL, NJ 07731-1658
(516) 617-3417
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07041900
NJ
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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