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Individual

KAVELLE TRICIA MCGLASHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BA, CADC INTERN

Contact information

Practice address
93 W PALISADE AVE, ENGLEWOOD, NJ 07631-2611
(201) 567-0500
(201) 567-9335
Mailing address
293 KINDERKAMACK RD APT B, RIVER EDGE, NJ 07661-1879
(201) 888-5396

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
NJ

Other

Enumeration date
04/10/2019
Last updated
04/10/2019
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