Elisa Bruckner LCSW

NPI 1043221252 - Social Worker - 1041C0700X

NPI Details
NPI 1043221252
Gender Female
Enumeration Date 08/11/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
11 COLBURN CT
WAYNE NJ, 07470-8211, US
Phone (973) 696-5668
Fax (973) 305-8078
Business Location
11 COLBURN CT
WAYNE NJ, 07470-8211, US
Phone (973) 696-5668
Fax (973) 305-8078
Toxanomy
Taxonomy Code 1041C0700X
License State New Jersey
License Number SC46893
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According to our database, Elisa Bruckner LCSW NPI is 1043221252, taxonomy code is 1041C0700X and license number is SC46893, license state is located at New Jersey. Elisa Bruckner LCSW physically located at 11 Colburn Ct, Wayne NJ, 07470-8211. NPI Number Elisa Bruckner LCSW has the Individual type.

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1043221252 NPI number is provided on an as is basis without warranty of any kind. 1043221252 is maintained by the National Plan & Provider Enumeration System. The contents of Elisa Bruckner LCSW are for informational purposes only.