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Individual

MS. KERRY EILEEN MCCANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
155 CHESTNUT ST, NUTLEY, NJ 07110-2311
(973) 667-1884
Mailing address
240 MOUNT VERNON PL APT 5A, NEWARK, NJ 07106-3115
(201) 956-4425

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC0040300
NJ

Other

Enumeration date
01/11/2021
Last updated
01/11/2021
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