Individual
SIMONE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA - COUNSELOR
Contact information
Practice address
600 S LIVINGSTON AVE, LIVINGSTON, NJ 07039-5419
(973) 369-7300
Mailing address
108 TERRACE AVE, WEST ORANGE, NJ 07052-3621
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00480600
NJ
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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