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Individual

TERRY GRINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
151 CENTENNIAL AVE, PISCATAWAY, NJ 08854-3907
(732) 235-6184
Mailing address
151 CENTENNIAL AVE, PISCATAWAY, NJ 08854-3907

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00286700
NJ

Other

Enumeration date
11/21/2017
Last updated
11/21/2017
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