Individual
JULIA MANNINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
66 N MAIN ST, MEDFORD, NJ 08055-2719
(856) 714-8400
Mailing address
66 N MAIN ST, MEDFORD, NJ 08055-2719
(856) 714-8400
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00732700.
NJ
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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