Individual
MRS. STEPHANIE CHRISTINE MCCULLOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1157 MAIN AVE, CLIFTON, NJ 07011-2243
(973) 341-9869
Mailing address
11 DELAWARE PL APT 3, BLOOMFIELD, NJ 07003-4771
(973) 809-9550
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00456600
NJ
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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