Individual
MARIA R. DAVANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATR-BC, LPC
Contact information
Practice address
655 E JERSEY ST, ELIZABETH, NJ 07206-1259
(908) 994-7712
Mailing address
583 PASSAIC AVE., KENILWORTH, NJ 07033
(908) 276-3137
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00344400
NJ
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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