Individual
DERK MILES REPLOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCADC
Contact information
Practice address
1069 RINGWOOD AVE, SUITE 301, HASKELL, NJ 07420-1408
(973) 831-0613
Mailing address
7 INDUSTRIAL RD, PEQUANNOCK, NJ 07440-1901
(973) 839-2520
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00183300
NJ
Other
Enumeration date
07/10/2014
Last updated
07/27/2016
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