| NPI | 1437855152 |
|---|---|
| Doing Business As | SELF EMPLOYED |
| Entity Type | Organization |
| Authorized Contact | MELISSA J MIDDLEMAN Melissa Middleman, Lcsw 862-452-4883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2023-02-03 |