Individual
DEVITA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
660 TENNENT RD, SUITE 104, MANALAPAN, NJ 07726-3163
(609) 613-0441
Mailing address
660 TENNENT RD, SUITE 104, MANALAPAN, NJ 07726-3163
(609) 613-0441
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/15/2013
Last updated
01/05/2016
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