KASEY C DIVINE

BOONTON, NJ
NPI1700131943
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy176B00000X Midwife
(Licence: NJ  25ME00075701)
Additional Taxonomies176B00000X Midwife
(Licence: NJ  25MW00001700)
Enumeration Date2012-07-13
Last Update Date2022-05-10
Business Address
KASEY C DIVINE CNM
408 MAIN ST STE 401A
BOONTON, NJ 07005-1732
Phone number: 201-230-4464
Mailing Address
KASEY C DIVINE CNM
307 3RD ST
BELVIDERE, NJ 07823-1832
Phone number: 201-230-4464
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