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Individual

MS. VIVIAN DWYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
81 PARK AVE., MISLAND PARK, NJ 07432
(201) 652-2790
(201) 652-2790
Mailing address
81 PARK AVE., MISLAND PARK, NJ 07432
(201) 652-2790
(201) 652-2790

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00084700
NJ

Other

Enumeration date
12/30/2011
Last updated
12/30/2011
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