Individual
KRYSTINA ANNE BISIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 CHESTNUT ST, RIDGEWOOD, NJ 07450-2500
(201) 528-8075
Mailing address
211 CAMDEN ST, ORADELL, NJ 07649-2407
(201) 820-5997
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07017500
NJ
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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