Individual
KELLY HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
650 BLOOMFIELD AVE, BLOOMFIELD, NJ 07003-2512
(973) 744-6522
Mailing address
34 OVERLOOK DR, DUMONT, NJ 07628-2017
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06415100
NJ
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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