Most Relevant Information
Provider Data
| NPI Number: | 1003544263 |
| Provider Name: | DESERY ALICEA LSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 44SL06826300 |
Most Important Dates
| Enumeration Date: | 08/15/2022 |
| Last Updated: | 08/15/2022 |
Provider Practice Location
802 TILTON RD STE 103
NORTHFIELD
NJ
082251233
Practice Location Phone/Fax
| Phone: | 6093778074 |
| Fax: |
Provider Mailing Location
802 TILTON RD STE 103
NORTHFIELD
NJ
082251233
Provider Mailing Phone/Fax
| Phone: | 6093778074 |
| Fax: |