Individual
CARLENE DOROTHY FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
770 WOODLANE RD, WESTAMPTON, NJ 08060-3804
(609) 267-5928
Mailing address
770 WOODLANE RD, WESTAMPTON, NJ 08060-3804
(609) 267-5928
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
F66461106456862
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101868505
—
NJ
Enumeration date
12/17/2015
Last updated
12/17/2015
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