Individual
VALARIE BRANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
770 WOODLANE RD, SUITE 35, WESTAMPTON, NJ 08060-3804
(609) 267-5928
(866) 362-4769
Mailing address
770 WOODLANE RD., SUITE 35, MT. HOLLY, NJ 08060
(609) 267-5928
(866) 362-4769
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NJ
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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