Individual
MIRIAM GEWIRTZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43 CAREY ST, LAKEWOOD, NJ 08701-1918
(732) 598-1504
Mailing address
43 CAREY ST, LAKEWOOD, NJ 08701-1918
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
44SL05629900
NJ
Other
Enumeration date
03/18/2011
Last updated
03/18/2011
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