Individual
FRAN MICELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 SOUTH ST, MANASQUAN, NJ 08736-3440
(732) 223-4673
(732) 722-7867
Mailing address
36 SOUTH ST, MANASQUAN, NJ 08736-3440
(732) 223-4673
(732) 722-7867
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00103300
NJ
104100000X
Social Worker
44SW00326600
NJ
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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