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Individual

MRS. SUSAN MARIA MARON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.,N.C.C., L.P.C.

Contact information

Practice address
254 BRICK BLVD, SUITE 11, BRICK, NJ 08723-7170
(732) 262-8300
(732) 262-8301
Mailing address
3 SAGE RD, TOMS RIVER, NJ 08753-2626
(732) 279-0491
(732) 279-0497

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00300400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200913782
TAXPAYER IDENTIFICATION N
NJ
Enumeration date
05/31/2006
Last updated
07/30/2010
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