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Individual

MRS. ANISSA IVERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2200 CEDARVIEW DR, TOMS RIVER, NJ 08757
(732) 642-8964
Mailing address
2200 CEDARVIEW DR, TOMS RIVER, NJ 08757-1253
(732) 908-8226

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00668000
NJ

Other

Enumeration date
11/04/2015
Last updated
06/18/2019
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