Individual
BEVERLY ANN CANADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 MAIN ST, ORANGE, NJ 07050-4059
(973) 214-0720
Mailing address
106 LYONS AVE, NEWARK, NJ 07112-2239
(973) 214-4072
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PCOO346100
NJ
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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