Individual
MEGAN C DEOLIVEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10 MARSHALL ST, WEST CALDWELL, NJ 07006-7919
(973) 722-5235
(973) 299-5454
Mailing address
10 MARSHALL ST, WEST CALDWELL, NJ 07006-7919
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00403000
NJ
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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