MICHAEL MICLIZ

BORDENTOWN, NJ
NPI1164193652
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2021-09-23
Last Update Date2021-09-23
Business Address
MICHAEL MICLIZ
231 CROSSWICKS RD STE 1
BORDENTOWN, NJ 08505-2602
Phone number: 609-379-6135
Mailing Address
MICHAEL MICLIZ
231 CROSSWICKS RD STE 1
BORDENTOWN, NJ 08505-2602
Phone number: