Individual
GERALDINE DIERKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
201 HOOPER AVE STE 4, TOMS RIVER, NJ 08753-7671
(732) 930-0024
Mailing address
653 LOXLEY DR, TOMS RIVER, NJ 08753-4385
(732) 930-0024
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SW05232300
NJ
1041C0700X
Clinical Social Worker
Primary
110865
TX
Other
Enumeration date
03/07/2013
Last updated
06/04/2024
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