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Individual

EDWINA VANOTOO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
M3 REMBRANDT CT, PINE HILL, NJ 08021-6578
(856) 885-6400
Mailing address
1 FARM LN, LINCOLN UNIVERSITY, PA 19352-9111
(877) 500-4742
(877) 500-4742

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3747P1801X
Personal Care Attendant
Primary
0450152009
NJ

Other

Enumeration date
06/29/2017
Last updated
03/20/2023
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