Provider Information for 1902492747
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JOCELYN BLAIS DRUKKER LPC
Sex: Female
NPI: 1902492747
Last Updated: 2020-12-16
Certification Date: 2020-12-16
Certification Date: 2020-12-16
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1902492747 | ||||||||||||||
| Enumeration Date | 2020-12-16 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 90 BROOKSIDE LN MOUNT ARLINGTON, NJ 07856-1352 United States Phone: 201-230-1654 | Fax: | ||||||||||||||
| Primary Practice Address | 90 BROOKSIDE LN MOUNT ARLINGTON, NJ 07856-1352 United States Phone: 201-230-1654 | Fax: | ||||||||||||||
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