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Individual

MRS. KELLY ANN RETTBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
319 MANOR LN BLDG S, MARLTON, NJ 08053-4154
(267) 982-3928
Mailing address
319 MANOR LN BLDG S, MARLTON, NJ 08053-4154
(267) 982-3928

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00375200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4138601
NJ
Enumeration date
12/04/2008
Last updated
08/02/2023
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