Individual
MICHELE DESLOGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
139 TOLEDO LN, WILLINGBORO, NJ 08046-3722
(856) 639-2434
Mailing address
139 TOLEDO LN, WILLINGBORO, NJ 08046-3722
(856) 639-2434
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
NJ
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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