Individual
MRS. STACEY CHILDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
565 NUGENTOWN RD, PINELANDS REGIONAL HIGH SCHOOL, LITTLE EGG HARBOR TWP, NJ 08087-3909
(609) 296-3106
Mailing address
565 NUGENTOWN ROAD, PINELANDS REGIONAL HIGH SCHOOL, LITTLE EGG HARBOR, NJ 08087
(609) 296-3106
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00134300
NJ
Other
Enumeration date
05/27/2008
Last updated
10/12/2015
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