Individual
ANASTASIA DEBOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5 DAISY CT, MARLTON, NJ 08053-5548
(856) 252-0375
Mailing address
5 DAISY CT, MARLTON, NJ 08053-5548
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC06323900
NJ
Other
Enumeration date
12/27/2021
Last updated
04/19/2024
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