KEVIN CHARLES STORY

BERLIN, NJ
NPI1053609065
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NJ  101YM0800X)
Enumeration Date2011-07-12
Last Update Date2011-07-12
Business Address
-- KEVIN CHARLES STORY
128 CROSS KEYS RD
BERLIN, NJ 08009-9201
Phone number: 856-210-1511
Mailing Address
-- KEVIN CHARLES STORY
19 E ORMOND AVE
CHERRY HILL, NJ 08034-2053
Phone number: 856-428-1300