Individual
MONIQUE RIDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
183 SOUTH ORANGE AVE, NEWARK, NJ 07102
(973) 972-7972
Mailing address
671 HOES LN W, PISCATAWAY, NJ 08854-8021
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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