Individual
BRITTANY STALLONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 WALNUT AVE, CLARK, NJ 07066-1649
(732) 605-6029
Mailing address
21 ALICE LN, CLARK, NJ 07066-1204
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00807100
NJ
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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