Susan Wildermann, MA, PD(MFT), LPC
NPI #1083890123 in Belford, New Jersey
Provider Information
- NPI Number
- 1083890123
- Entity Type
- Individual
- Name
- Susan Wildermann, MA, PD(MFT), LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- MA, PD(MFT), LPC
- Enumeration Date
- Jan 19, 2008
- Last Updated
- Jan 19, 2008
Practice Location
- Address
- 512 CLINTON AVE
- City
- Belford
- State
- New Jersey
- ZIP Code
- 07718-1217
- Phone
- (732) 895-7009
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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