Individual
LATOYA PEGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPAT, LPC, ART-BC
Contact information
Practice address
103 OLD MARLTON PIKE STE 101, MEDFORD, NJ 08055-8772
(856) 223-2222
Mailing address
PO BOX 100, PALMYRA, NJ 08065-0100
(856) 209-3507
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00904400
NJ
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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