Individual
MS. DESIREE MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1387 CHEWS LANDING RD, LAUREL SPRINGS, NJ 08021-2760
(855) 765-6399
Mailing address
14 MURPHY AVE, WESTVILLE, NJ 08093-1645
(856) 617-2295
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05841300
NJ
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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