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Individual

MATTHEW C IHNKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSW

Contact information

Practice address
613 HOPE RD, EATONTOWN, NJ 07724-1278
(732) 544-4544
Mailing address
181 RAVENWOOD BLVD, BARNEGAT, NJ 08005-2205
(609) 661-8491

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06871500
NJ
106S00000X
Behavior Technician
RBT-21-162956
NJ

Other

Enumeration date
11/15/2022
Last updated
11/15/2022
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