Individual
DEBRA DEVITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 W PROSPECT ST, EAST BRUNSWICK, NJ 08816-2161
(201) 315-7367
Mailing address
15 W PROSPECT ST, EAST BRUNSWICK, NJ 08816-2161
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00171100
NJ
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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