Individual
STEPHANIE KINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1 S BROAD ST STE 3B, WOODBURY, NJ 08096-4609
(856) 693-5775
Mailing address
3 RED OAK DR, VOORHEES, NJ 08043-1513
(856) 816-8531
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00448900
NJ
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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