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Individual

CHARLES EDWARD WILKINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCADC

Contact information

Practice address
64 WILDCAT BRANCH DR, SICKLERVILLE, NJ 08081-4890
(201) 406-0589
Mailing address
64 WILDCAT BRANCH DR, SICKLERVILLE, NJ 08081-4890
(201) 406-0589

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00376900
NJ

Other

Enumeration date
09/01/2023
Last updated
09/01/2023
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