Doctor Name: | MRS. MARGARET DUBANOWICH |
NPI Number: | 1295063725 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 37PC00399600 |
Business Practice Address: | 185 State Route 183 Stanhope, NJ - 078742646 |
Business Phone Number: | 9734261640 |
Business Fax Number: | |
Mailing Address: | 185 Route 183, STANHOPE |
State: | NJ |
Postal Code: | 078747874 |
Phone Number: | 9734261640 |
Fax Number: | |
NPI Enumeration Date: | 11/20/2009 |
NPI Last Update Date: | 11/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00399600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |