Individual
PAGET BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 SPRUCE ST, TRENTON, NJ 08638-3957
(609) 396-5944
Mailing address
1001 SPRUCE ST, SUITE 205, TRENTON, NJ 08638-3957
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37PC00488000
NJ
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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