Individual
JANELLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1075 EASTON AVE, TOWER 3 SUITE-4, SOMERSET, NJ 08873
(732) 366-9616
Mailing address
1075 EASTON AVE, TOWER-3 SUITE-4, SOMERSET, NJ 08873
(732) 366-9616
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
18-462
NJ
Other
Enumeration date
02/09/2022
Last updated
10/27/2022
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