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Individual

MISS COURTNEY ELAINE1989 BACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2323 BARTRAM AVE, ATCO, NJ 08004-1702
(856) 834-2007
Mailing address
137 PATTERSON AVE, BELLMAWR, NJ 08031-2129
(856) 834-2007

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary

Other

Enumeration date
10/24/2014
Last updated
10/24/2014
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