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Individual

DOREEN T MIRI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA,LPC,NCC

Contact information

Practice address
3131 PRINCETON PIKE, BUILDING 2B, SUITE 105, LAWRENCEVILLE, NJ 08648-2201
(609) 647-3556
Mailing address
3131 PRINCETON PIKE, BUILDING 2B, SUITE 105, LAWRENCEVILLE, NJ 08648-2201
(609) 647-3556

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00484500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
37PC00484500
FOR BILLING COMPANIES
NJ
Enumeration date
01/16/2017
Last updated
01/16/2017
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