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Individual

BRIAN MOELTNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
16 POMPTON AVE, POMPTON LAKES, NJ 07442-1895
(973) 835-6337
Mailing address
312 LENOX AVE, POMPTON LAKES, NJ 07442-1303
(862) 377-9904

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
01/20/2021
Last updated
01/20/2021
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