Individual
MONICA MEDLICOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 PLAYERS CIR, TINTON FALLS, NJ 07724-3806
(732) 935-9445
Mailing address
28 PLAYERS CIR, TINTON FALLS, NJ 07724-3806
(732) 935-9445
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05032600
NJ
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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