Individual
MR. GLENN L WOJTOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
151 FRIES MILL RD, BLDG 2, TURNERSVILLE, NJ 08012-2016
(856) 270-2415
(856) 270-2403
Mailing address
527 FOREST EDGE, DEPTFORD, NJ 08096-2952
(856) 686-0994
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05172400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2353186000
AMERIHEALTH
NJ
01
—
744810000
MAGELLAN
NJ
Enumeration date
01/16/2007
Last updated
07/14/2011
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