Individual
DR. STACEY MICHELLE SOLOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
41 CARNEGIE CT, MIDDLETOWN, NJ 07748-3101
(732) 859-0905
Mailing address
41 CARNEGIE CT, MIDDLETOWN, NJ 07748-3101
(732) 859-0905
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00292300
NJ
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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