LEROY STANFORD

CAMDEN, NJ
NPI1013395052
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NJ  37LC00215600)
Enumeration Date2015-05-11
Last Update Date2015-05-11
Business Address
-- LEROY STANFORD
2600 MOUNT EPHRAIM AVE SUITE 405
CAMDEN, NJ 08104-3236
Phone number: 856-963-7323
Mailing Address
-- LEROY STANFORD
2600 MOUNT EPHRAIM AVE SUITE 405
CAMDEN, NJ 08104-3236
Phone number: 856-963-7323
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