Individual
SOPHIA FOUNTOUKIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 S 5TH AVE, HIGHLAND PARK, NJ 08904-2604
(732) 825-7729
Mailing address
6 TUDOR DR, SOMERSET, NJ 08873-7474
(973) 506-9345
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07018400
NJ
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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