Individual
CLEA WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
659 EAGLE ROCK AVE, WEST ORANGE, NJ 07052-2138
(973) 895-2102
Mailing address
46 BEECH RD, RANDOLPH, NJ 07869-4525
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
07442
NJ
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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