Individual
MISS CHARLOTTE AMELIA MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 CHANLON RD STE 310, NEW PROVIDENCE, NJ 07974-1543
(703) 506-0123
Mailing address
419 S HOLLY AVE, GALLOWAY, NJ 08205-6705
(732) 841-2427
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07135900
NJ
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/26/2019
Last updated
11/05/2024
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