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Individual

DAPHNEY BETTY RAYMOND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
187 GRUMMAN AVE, NEWARK, NJ 07112-1749
(973) 849-7416
Mailing address
187 GRUMMAN AVE, NEWARK, NJ 07112-1749
(973) 849-7416

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
09/19/2022
Last updated
09/19/2022
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