Individual
ANASTASIA KATHERINE KUDLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
45 PERRY ST, CHESTER, NJ 07930-3604
(908) 529-0355
Mailing address
45 PERRY ST, CHESTER, NJ 07930-3604
(908) 529-0355
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
110985
NY
1041C0700X
Clinical Social Worker
Primary
44SC06274200
NJ
Other
Enumeration date
09/24/2019
Last updated
08/22/2024
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