Individual
DANIELLE ALEXIS KASOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LAC, R-DMT, CTP,
Contact information
Practice address
103 OLD MARLTON PIKE STE 101, MEDFORD, NJ 08055
(856) 223-2222
Mailing address
5 HARVEY RD, CREAM RIDGE, NJ 08514-1607
(609) 977-0811
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00791700
NJ
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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