Individual
MISS ANYER ANGELICA TATIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA EDS LAC
Contact information
Practice address
12 HARBOR TER APT 4G, PERTH AMBOY, NJ 08861-4815
(908) 848-0578
Mailing address
12 HARBOR TER APT 4G, PERTH AMBOY, NJ 08861-4815
(908) 848-0578
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00554600
NJ
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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