Individual
MOLLY CHRISTINE MICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2000
Mailing address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86081125
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
04/21/2025
Last updated
04/21/2025
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