Individual
MIATTA BROWNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
522 OTTO AVE, EDGEWATER PARK, NJ 08010-2012
(609) 433-2795
Mailing address
522 OTTO AVE, EDGEWATER PARK, NJ 08010-2012
(609) 433-2795
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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