Individual
LISA R REARICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1239 PARKWAY AVE, EWING, NJ 08628-3000
(609) 394-5157
Mailing address
1239 PARKWAY AVE, EWING, NJ 08628-3000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05900200
NJ
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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