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Individual

MENPLAY FOUNTAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
61 DAVIS AVE, NEPTUNE, NJ 07753-4401
(732) 897-2820
Mailing address
61 DAVIS AVE, NEPTUNE, NJ 07753-4401
(732) 897-2820
(732) 869-9798

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06921000
NJ

Other

Enumeration date
03/07/2025
Last updated
03/07/2025
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