Individual
DIANE MUSSOLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 HARPER DR, MOORESTOWN, NJ 08057-3208
(856) 380-1070
(856) 552-1315
Mailing address
116 JEFFERSON AVE, HADDONFIELD, NJ 08033-3412
(856) 354-1876
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/09/2015
Last updated
08/09/2015
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