Search › New Jersey › 1041C0700X

Kyle Mack, LCSW

NPI 1073092276 · on the registry since 2018 · sole proprietor

Practice

Address
104 Central Park Pl
Ramsey, NJ 07446
Phone
(732) 615-8734

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-08-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey