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Individual

GINA M RADICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A

Contact information

Practice address
3499 ROUTE 9 N STE 2C, FREEHOLD, NJ 07728
(732) 982-2888
(847) 859-5885
Mailing address
175 E HAWTHORN PKWY STE 235, VERNON HILLS, IL 60061-1454
(847) 737-8768
(847) 859-5885

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
R01022887455892
NJ
103TC0700X
Clinical Psychologist
Primary
35SI00585900
NJ

Other

Enumeration date
06/24/2013
Last updated
09/28/2018
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