Individual
BRE'ANNA FAY DEFALCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 NJ-168, G3, TURNERSVILLE, NJ 08012
(856) 302-5728
Mailing address
900 NJ-168, G3, TURNERSVILLE, NJ 08012
(856) 373-1744
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00684500
NJ
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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