Individual
MRS. MARTHA JEAN EIDMANN-HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT MDIV
Contact information
Practice address
33 N MAIN ST, WYCKOFF BUILDING, MARLBORO, NJ 07746-1470
(732) 834-9882
Mailing address
32 REVOLUTIONARY RD, COLTS NECK, NJ 07722-1448
(732) 946-2877
(732) 946-2877
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
000663
NY
106H00000X
Marriage & Family Therapist
Primary
37F100154700
NJ
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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