SHANISE FONVILLE

WESTAMPTON, NJ
NPI1790337459
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-07-12
Last Update Date2019-07-12
Business Address
SHANISE FONVILLE
770 WOODLANE RD
WESTAMPTON, NJ 08060-3804
Phone number: 606-267-5928
Mailing Address
SHANISE FONVILLE
770 WOODLANE RD
WESTAMPTON, NJ 08060-3804
Phone number: 606-267-5928
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