Individual
MIRLAINE BICHOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 4TH AVE, EAST ORANGE, NJ 07017-4816
(864) 367-5905
Mailing address
121 4TH AVENUE, EAST ORANGE, NJ 07017
(864) 367-5905
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
11/06/2006
Last updated
07/21/2022
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