Individual
MS. JUDITH KOTTICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
110 CHRISTOPHER ST, MONTCLAIR, NJ 07042-4229
(973) 746-7370
Mailing address
110 CHRISTOPHER ST, MONTCLAIR, NJ 07042-4229
(973) 746-7370
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SC01516
NJ
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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