Individual
LITICIA BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1514 8TH AVE, NEPTUNE, NJ 07753-4920
(732) 685-3687
Mailing address
1514 8TH AVE, NEPTUNE, NJ 07753-4920
(732) 685-3687
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
10/31/2023
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