Individual
EDWARD TROCKENBROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6010 BLACK HORSE PIKE, EGG HARBOR TWP, NJ 08234-9752
(609) 646-5142
Mailing address
PO BOX 1086, PLEASANTVILLE, NJ 08232-6086
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SC048290
NJ
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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