BLONDENE PATRICE GOULBOURNE

UNION, NJ
NPI1205655180
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NJ  37AC00767200)
Enumeration Date2024-10-07
Last Update Date2024-10-07
Business Address
BLONDENE PATRICE GOULBOURNE LAC
1053 OVERLOOK TER
UNION, NJ 07083-3607
Phone number: 718-208-3959
Mailing Address
BLONDENE PATRICE GOULBOURNE LAC
58 GARIBALDI AVE
LODI, NJ 07644-1806
Phone number: 718-208-3959