Individual
DR. ANN MANCUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
331 NEWMAN SPRINGS RD, BUILDING 1, 4TH FLOOR, SUITE 143, RED BANK, NJ 07701-5688
(732) 233-8826
Mailing address
15 NUTMEG CT, TINTON FALLS, NJ 07753-7022
(732) 233-8826
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00317600
NJ
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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