Individual
MRS. CHRISTINE E TICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1845 HADDON AVE, CAMDEN, NJ 08103-3008
(856) 342-4162
Mailing address
1845 HADDON AVE, CAMDEN, NJ 08103-3008
(856) 342-4162
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05491900
NJ
Other
Enumeration date
05/04/2012
Last updated
05/04/2012
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