Individual
DEIDRA ANNE KOZLOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., M.S., L.P.C.
Contact information
Practice address
107 TINDALL RD, MIDDLETOWN, NJ 07748-2321
(908) 310-4644
Mailing address
120 LAUREL AVE, HAZLET TOWNSHIP, NJ 07734-2949
(908) 310-4644
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00548900
NJ
Other
Enumeration date
10/17/2014
Last updated
09/27/2016
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