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1023835121
CORRYN DEFAZIO
HOBOKEN, NJ
NPI
1023835121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NJ 37AC00755700)
Enumeration Date
2024-09-21
Last Update Date
2024-09-21
Business Address
CORRYN DEFAZIO
258 NEWARK ST STE 205
HOBOKEN, NJ 07030-3418
Phone number: 908-975-1853
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Mailing Address
CORRYN DEFAZIO
258 NEWARK ST STE 205
HOBOKEN, NJ 07030-3418
Phone number: 908-975-1853
Copy
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