Individual
MRS. JACQUELINE A KIEVIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
222 NEW RD, STE 801, LINWOOD, NJ 08221-1299
(856) 507-2732
Mailing address
222 NEW RD, STE 801, LINWOOD, NJ 08221-1299
(856) 507-2732
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05346500
NJ
Other
Enumeration date
01/09/2011
Last updated
01/09/2011
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