Individual
KAITLYN SLOCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
591 LAKEHURST RD, TOMS RIVER, NJ 08755-8045
(732) 367-4700
Mailing address
1712 GROVE ST, WALL TOWNSHIP, NJ 07719-3418
(732) 685-1103
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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