Individual
DESIREE HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
777 BLOOMFIELD AVE, CLIFTON, NJ 07012-1242
(973) 594-0125
Mailing address
46 RICHARD AVE, WEST CALDWELL, NJ 07006-7246
(973) 632-5367
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37AC00417700
NJ
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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