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Individual

CHERYL DIANE STICKEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSW, BCBA

Contact information

Practice address
2 W WASHINGTON AVE, SUITE 212, WASHINGTON, NJ 07882-1917
(908) 884-3207
(908) 835-8300
Mailing address
2 W WASHINGTON AVE, SUITE 212, WASHINGTON, NJ 07882-1917
(908) 884-3207
(908) 835-8300

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
44SL05205200
NJ
103K00000X
Behavior Analyst
Primary
44SL05205200
NJ

Other

Enumeration date
05/05/2010
Last updated
09/01/2010
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