Individual
MR. SCOTT G ENTRIKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
1466 HOOPER AVE, TOMS RIVER, NJ 08753-2892
(732) 383-4042
Mailing address
22 GAJEWSKI LN, WEST CREEK, NJ 08092-9668
(609) 713-7731
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00113900
NJ
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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