WALLACE CUSTIS

WESTAMPTON, NJ
NPI1538830377
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2021-09-22
Last Update Date2021-09-22
Business Address
WALLACE CUSTIS
770 WOODLANE RD
WESTAMPTON, NJ 08060-3804
Phone number: 609-267-5928
Mailing Address
WALLACE CUSTIS
770 WOODLANE RD
WESTAMPTON, NJ 08060-3804
Phone number: 609-267-5928