Individual
LAVERN BUCKNOR DEPEINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
32 WERNIK PL STE G, METUCHEN, NJ 08840-2467
(732) 902-2181
(732) 902-2182
Mailing address
275 S WASHINGTON AVE, DUNELLEN, NJ 08812-1644
(732) 305-8116
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37FI00190900
NJ
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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