Individual
ANIYAH R MINTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHA
Contact information
Practice address
17 REAVILLE AVE # 1072, FLEMINGTON, NJ 08822-1714
(973) 860-8899
Mailing address
17 REAVILLE AVE # 1072, FLEMINGTON, NJ 08822-1714
(973) 860-8899
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
M45290467956882
NJ
Other
Enumeration date
10/23/2018
Last updated
08/03/2023
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