Individual
STEPHANIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
170 FAIRMOUNT RD, LONG VALLEY, NJ 07853-3109
(908) 256-5951
Mailing address
170 FAIRMOUNT RD, LONG VALLEY, NJ 07853-3109
(908) 256-5951
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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