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Individual

MRS. JOSEPHINE SERVELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1020 SPRINGFIELD AVE, MOUNTAINSIDE, NJ 07092-2988
(908) 379-8323
Mailing address
1020 SPRINGFIELD AVE, MOUNTAINSIDE, NJ 07092-2988

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00042700
NJ

Other

Enumeration date
03/15/2011
Last updated
03/16/2012
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