Individual
DR. NICOLE ANTOINETTE CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 PARK ST, MONTCLAIR, NJ 07042-3465
(973) 632-6469
Mailing address
85 PARK ST, MONTCLAIR, NJ 07042-3465
(973) 632-6469
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00110500
NJ
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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