Individual
MISS CASSANDRA C PESTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
116 FULTON ST, CLARK, NJ 07066-1877
(848) 219-4716
Mailing address
116 FULTON ST, CLARK, NJ 07066-1877
(848) 219-4716
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
828559
NJ
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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