Individual
LISA VELEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
42 DELSEA DR S, GLASSBORO, NJ 08028-2621
(844) 422-3632
Mailing address
PO BOX 186, NEWFIELD, NJ 08344-0186
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06773600
NJ
1041S0200X
School Social Worker
1159794
NJ
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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