Individual
ANTONIETTE RICHBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
138 7TH ST, HAZLET TOWNSHIP, NJ 07734-2969
(908) 419-2044
Mailing address
138 7TH ST, HAZLET TOWNSHIP, NJ 07734-2969
(908) 419-2044
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05774600
NJ
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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