Individual
MIRIAM WOHLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 AVENUE OF THE STATES, LAKEWOOD, NJ 08701-4789
(732) 961-7413
Mailing address
205 E 5TH ST, LAKEWOOD, NJ 08701-3414
(732) 675-0988
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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