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Individual
DR. ROGER WALLACE PLANTIKOW
Active
Individual
DR. ROGER WALLACE PLANTIKOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.MIN.
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
972
NULL
106H00000X
Marriage & Family Therapist
Primary
37FI00038300
NJ
Other
Enumeration date
05/16/2007
Last updated
09/02/2014
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