Individual
MISS KAITLYN WELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 CARRIAGE LN, NEWTON, NJ 07860-1925
(732) 614-8212
Mailing address
120 CHESTNUT ST, RIDGEWOOD, NJ 07450-2504
(201) 444-3550
(201) 652-1613
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
AC-GTL-22-02759
NJ
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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