Individual
JULISSA MILKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
114 KINDERKAMACK RD, PARK RIDGE, NJ 07656-2126
(201) 391-1355
Mailing address
6 MANDON TER, HAWTHORNE, NJ 07506-3206
(201) 681-8944
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06019200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44SL06019200
THE NEW JERSEY BOARD OF SOCIAL WORK EXAMINERS
NJ
Enumeration date
04/18/2022
Last updated
04/18/2022
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