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Individual

ANTINIQUE MONE WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSCW

Contact information

Practice address
700 AIRPORT RD, LAKEWOOD, NJ 08701-5907
(732) 367-4700
Mailing address
1152 ANTHONY CT, LAKEWOOD, NJ 08701-7403

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06246400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0029807
NJ
Enumeration date
04/24/2019
Last updated
07/26/2021
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