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1124364591
JOAN ELLIS MYSIAK
PENNINGTON, NJ
NPI
1124364591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: NJ 35SI00254700)
Enumeration Date
2012-12-12
Last Update Date
2012-12-12
Business Address
Dr. JOAN ELLIS MYSIAK Ph.D.
306 HALE STREET
PENNINGTON, NJ 08534-2705
Phone number: 609-818-9230
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Mailing Address
Dr. JOAN ELLIS MYSIAK Ph.D.
306 HALE STREET
PENNINGTON, NJ 08534
Phone number: 609-818-9230
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