Individual
ASA PARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
99 DUNNS MILL RD, BORDENTOWN, NJ 08505-4704
(609) 947-4524
Mailing address
PO BOX 55696, TRENTON, NJ 08638-6696
(609) 947-4524
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SC05761700
NJ
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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