Individual
MARIANNE WISHBOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1390 VALLEY RD, STIRLING, NJ 07980-1346
(908) 809-9463
Mailing address
528 GILES AVE, MIDDLESEX, NJ 08846-2407
(732) 857-7645
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00240000
NJ
101YP2500X
Professional Counselor
Primary
37PC00717900
NJ
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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