Individual
SEAN JOSEPH KINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
317 BRICK BLVD, BRICK, NJ 08723-6031
(732) 920-5000
Mailing address
317 BRICK BLVD, BRICK, NJ 08723-6031
(732) 920-5000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06541100
NJ
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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