Provider First Line Business Practice Location Address:
112 TOWN CENTER
Provider Second Line Business Practice Location Address:
DM PSYCHOLOGICAL CONSULTANTS LLC
Provider Business Practice Location Address City Name:
WARREN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07059
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-735-7408
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/22/2006