Individual
KARLY VANBRUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
770 WOODLANE RD, WESTAMPTON, NJ 08060-3804
(609) 267-5928
Mailing address
770 WOODLANE RD, WESTAMPTON, NJ 08060-3804
(609) 267-5928
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00535700
NJ
Other
Enumeration date
02/10/2021
Last updated
07/28/2021
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