NICOLE ELIZABETH DESHAN

MEDFORD, NJ
NPI1548000581
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NJ  37AC00793700)
Enumeration Date2024-05-28
Last Update Date2024-05-28
Business Address
NICOLE ELIZABETH DESHAN
32 S MAIN ST
MEDFORD, NJ 08055-2455
Phone number: 856-617-4544
Mailing Address
NICOLE ELIZABETH DESHAN
2 WISINA CT
MEDFORD, NJ 08055-9349
Phone number: 609-556-3215