Individual
MRS. LOIS LEVINE WERTHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 POWERVILLE ROAD, ST CLARES HOSPITAL, BOONTON, NJ 07005
(973) 316-1905
(973) 299-5466
Mailing address
7 FARRAGOT RD, RANDOLPH, NJ 07869
(973) 328-1337
(973) 328-1849
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SC01173600
NJ
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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