Individual
MELISSA KEOGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3155 STATE ROUTE 10 STE LL01, DENVILLE, NJ 07834-3492
(973) 691-3030
Mailing address
3155 STATE ROUTE 10 STE LL01, DENVILLE, NJ 07834-3492
(973) 691-3030
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00632700
NJ
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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