Individual
MRS. DINA M KICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
47 LONGPORT RD, WAYNE, NJ 07470-6436
(973) 722-1770
Mailing address
47 LONGPORT RD, WAYNE, NJ 07470-6436
(973) 722-1770
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04858300
NJ
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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