Individual
JOANNA MELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 ROUTE 88, BRICK, NJ 08724
(732) 903-4575
Mailing address
1500 ROUTE 88, BRICK, NJ 08724
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00525800
NJ
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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