BLAIR DIDIO

MATAWAN, NJ
NPI1477110500
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NJ  37AC00321200)
Enumeration Date2019-05-23
Last Update Date2019-05-23
Business Address
Mrs. BLAIR DIDIO LAC
166 MAIN ST
MATAWAN, NJ 07747-3104
Phone number: 732-290-9040
Mailing Address
Mrs. BLAIR DIDIO LAC
45 HAWTHORNE DR
CLARK, NJ 07066-2820
Phone number: 732-540-4197