Individual
MS. CONSTANCE WIECZOREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
249 VIRGINIA AVE, JERSEY CITY, NJ 07304-1423
(201) 798-9900
(201) 659-6216
Mailing address
170 COOPER LN, CHESTER, NJ 07930-2636
(201) 798-9900
(201) 659-6216
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SL05390800
NJ
Other
Enumeration date
05/10/2011
Last updated
05/10/2011
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