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1043752900
JOANNA BREVAN
UNION, NJ
NPI
1043752900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NJ 37Lc00225900)
Enumeration Date
2016-11-09
Last Update Date
2016-11-09
Business Address
-- JOANNA BREVAN
2780 MORRIS AVE
UNION, NJ 07083-4852
Phone number: 609-651-4001
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Mailing Address
-- JOANNA BREVAN
2780 MORRIS AVE
UNION, NJ 07083-4852
Phone number:
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