Individual
MS. PHYLLIS J FLEISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
120 CHESTNUT STREET, RIDGEWOOD, NJ 07450
(201) 444-3550
(201) 652-1613
Mailing address
120 CHESTNUT STREET, RIDGEWOOD, NJ 07450
(201) 444-3550
(201) 652-1613
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SC00287800
NJ
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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