IDA VERNELIUS DAVISTYSON

MATAWAN, NJ
NPI1669113361
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-04-05
Last Update Date2022-04-05
Business Address
IDA VERNELIUS DAVISTYSON
166 MAIN ST
MATAWAN, NJ 07747-3104
Phone number: 732-290-9040
Mailing Address
IDA VERNELIUS DAVISTYSON
1 KYLE WAY
EWING, NJ 08628-2508
Phone number: 732-688-9373
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