Individual
DENISE FAYE SMITH WADDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 ISABELLA AVE, NEWARK, NJ 07106-2026
(347) 444-2441
Mailing address
23 ISABELLA AVE, NEWARK, NJ 07106-2026
(347) 444-2441
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37FA00043100
NJ
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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