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1386122323
THERESA HUMPHREY
GLASSBORO, NJ
NPI
1386122323
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NJ 37CA00075800)
Enumeration Date
2018-08-01
Last Update Date
2018-08-01
Business Address
THERESA HUMPHREY
17 DELSEA DR S
GLASSBORO, NJ 08028-2620
Phone number: 856-964-1990
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Mailing Address
THERESA HUMPHREY
584 BENSON ST
CAMDEN, NJ 08103-1324
Phone number: 856-964-1990
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