Individual
CHRISTINE MOHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
216 DAYTON ST, RIDGEWOOD, NJ 07450-4400
(973) 619-9863
Mailing address
88 MONROE PL APT 307, BLOOMFIELD, NJ 07003-3553
(201) 615-3019
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05797200
NJ
1041S0200X
School Social Worker
959153
NJ
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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