Individual
ALICIA DURETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPRSS
Contact information
Practice address
1405 ROUTE 35, OCEAN, NJ 07712-3532
(848) 245-7057
Mailing address
700 AIRPORT RD, LAKEWOOD, NJ 08701-5907
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
725
NJ
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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