Individual
CONCHITA FLUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 BERGEN AVE, TEANECK, NJ 07666-3867
(917) 279-6869
Mailing address
103 BERGEN AVE, TEANECK, NJ 07666-3867
(917) 279-6869
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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