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Individual

JAN E. MUGAVERO SWICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
502 FAIRBANKS AVE, PHILLIPSBURG, NJ 08865-1435
(908) 619-1769
Mailing address
502 FAIRBANKS AVE, PHILLIPSBURG, NJ 08865-1435
(908) 619-1769

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC002956
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0161756
NJ
Enumeration date
03/16/2009
Last updated
03/16/2009
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