Organization
CARLY DECOTIIS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLY DECOTIIS NCC LPC ACS CCS (LICENSED PROFESSIONAL COUNSELOR)
(908) 546-2126
Entity
Organization
Contact information
Practice address
18 BANK ST STE 1, SUMMIT, NJ 07901-3659
(908) 546-2126
Mailing address
18 BANK ST STE 1, SUMMIT, NJ 07901-3659
(908) 546-2126
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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