Individual
ASHLEY DERDZIKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
600 PAVONIA AVE, JERSEY CITY, NJ 07306
(732) 228-8060
(201) 222-7676
Mailing address
600 PAVONIA AVE, JERSEY CITY, NJ 07306
(732) 228-8060
(201) 222-7676
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00259500
NJ
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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