Individual
MR. ROBERT WHITEKETTLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
333 IRVING AVE, BRIDGETON, NJ 08302-2123
(856) 575-4190
Mailing address
19 STANFORD RD, CHERRY HILL, NJ 08034-2620
(856) 448-2325
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06011900
NJ
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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