Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 44SL00872200 | NJ |
NPI | 1003236076 |
---|---|
Provider Name | Ms. Joan M. Hipple |
First Address | Burlington, NJ 08016-1312 |
Second Address | Burlington, NJ 08016-1312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2014 |
Last Update Date | 17/04/2014 |