Individual
WANDERLEIA FONTOURA DA LUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 GLENSIDE AVE, SUMMIT, NJ 07901-3346
(862) 235-9139
Mailing address
110 GLENSIDE AVE, SUMMIT, NJ 07901-3346
(862) 235-9139
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37AC00955400
NJ
Other
Enumeration date
05/09/2026
Last updated
05/09/2026
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