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Individual

SALLYANNE BEVERE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
634 SQUANKUM YELLOWBROOK RD, FARMINGDALE, NJ 07727-3748
(732) 822-2995
Mailing address
634 SQUANKUM YELLOWBROOK RD, FARMINGDALE, NJ 07727-3748
(732) 822-2995

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00181700
NJ
1041C0700X
Clinical Social Worker
44SC05664600
NJ

Other

Enumeration date
12/03/2020
Last updated
12/03/2020
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