Individual
ALEXANDRA VANWAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 CRAIG RD, MANALAPAN, NJ 07726-8787
(732) 913-0033
Mailing address
100 CRAIG RD, MANALAPAN, NJ 07726-8787
(732) 913-0033
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00713400
NJ
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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