Individual
DIANE MARIE GREENBLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 W MAIN ST, SUTE # 110, MOORESTOWN, NJ 08057-2345
(856) 571-0518
Mailing address
3308 BURROUGHS MILL CIR, CHERRY HILL, NJ 08002-1290
(856) 571-0518
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00182300
NJ
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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