Individual
KHIARA ANNAYSIA NORIEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
66 MUHAMMAD ALI AVE, NEWARK, NJ 07108-2914
(973) 733-6931
Mailing address
12 ORCHARD ST, LITTLE FALLS, NJ 07424-1226
(973) 901-5232
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06717400
NJ
1041C0700X
Clinical Social Worker
44SL06717400
NJ
1041S0200X
School Social Worker
44SL06717400
NJ
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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