Individual
CHARLETTE MIKULKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
113 MAIN ST, 2ND FLOOR, NEWTON, NJ 07860-2037
(973) 579-1710
Mailing address
113 MAIN ST, 2ND FLOOR, NEWTON, NJ 07860-2037
(973) 579-1710
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04336000
NJ
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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