Individual
MIKAELA TEEL FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 WHITTIER AVE, MOORESTOWN, NJ 08057-1531
(609) 321-4966
Mailing address
14 WHITTIER AVE, MOORESTOWN, NJ 08057-1531
(609) 321-4966
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
44SL07237900
NJ
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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