Individual
MS. JENNA R WEITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
19 E MAIN ST STE A, MARLTON, NJ 08053-2172
(856) 985-9091
Mailing address
19 E MAIN ST STE A, MARLTON, NJ 08053-2172
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
44SL06418400
NJ
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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