Individual
ASIA DEPAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
80 W GRAND ST, ELIZABETH, NJ 07202-1471
(908) 354-3040
Mailing address
66 WILLOUGHBY ST APT 3, NEWARK, NJ 07112-1585
(908) 404-2178
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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