KENDRICKE DUVAUGHN WILSON

ROCKAWAY, NJ
NPI1053160820
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-05-15
Last Update Date2024-05-15
Business Address
KENDRICKE DUVAUGHN WILSON
25 W MAIN ST STE A
ROCKAWAY, NJ 07866-3435
Phone number: 973-625-1998
Mailing Address
KENDRICKE DUVAUGHN WILSON
25 W MAIN ST STE A
ROCKAWAY, NJ 07866-3435
Phone number: 973-625-1998