Individual
HEATHER M CHURCH-SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
970 ROUTE 70, BRICK, NJ 08724-3502
(347) 728-6114
Mailing address
570 SICA LN, TOMS RIVER, NJ 08753-8216
(732) 908-2383
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05355400
NJ
Other
Enumeration date
03/18/2020
Last updated
08/22/2022
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