| Icchoice | |
|
234 Main St Lincoln Park NJ 07035-3704 | |
| (973) 647-4905 | |
| Not Available |
| Full Name | Icchoice |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 234 Main St, Lincoln Park, New Jersey |
| Authorized Official Name and Position | Carolyn Peguero (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9736474905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Icchoice 42 Barnegat Rd Hewitt NJ 07421-3841 Ph: (973) 647-4905 | Icchoice 234 Main St Lincoln Park NJ 07035-3704 Ph: (973) 647-4905 |
| NPI Number | 1699071647 |
|---|---|
| Provider Enumeration Date | 02/08/2011 |
| Last Update Date | 02/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699071647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05426400 (New Jersey) | Primary |
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