Individual
GITTI NEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
124 COLONY CIR, LAKEWOOD, NJ 08701-1402
(845) 664-5161
Mailing address
124 COLONY CIR, LAKEWOOD, NJ 08701-1402
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05785300
NJ
Other
Enumeration date
12/25/2013
Last updated
12/25/2013
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