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Individual

MS. HELAYNE SUSAN VANSICKLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
35 BEAVERSON BLVD BLDG 1, BRICK, NJ 08723-7812
(732) 920-7933
Mailing address
184 KETTLE CREEK RD, TOMS RIVER, NJ 08753-1802
(732) 255-9139

Taxonomy

Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
81-081
NJ

Other

Enumeration date
01/11/2007
Last updated
07/08/2007
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