Individual
COURTNEY C MICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
377 VALLEY RD UNIT 2636, CLIFTON, NJ 07013-1319
(973) 419-5261
Mailing address
377 VALLEY RD UNIT 2636, CLIFTON, NJ 07013-1319
(973) 419-5261
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06243200
NJ
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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