Individual
MISS GISSELL REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, MA
Contact information
Practice address
15 W PROSPECT ST, EAST BRUNSWICK, NJ 08816-2161
(732) 254-0600
Mailing address
109 ALDER CT, NEW BRUNSWICK, NJ 08901-2774
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
NJ
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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