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Organization
EJAJ LLC
Active
Organization
EJAJ LLC
Active
Other names
The Lazar Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA SULTANIK (HEAD OF OPERATIONS)
(201) 315-1209
Entity
Organization
Contact information
Practice address
141 AYERS CT STE 2A, TEANECK, NJ 07666-5160
(201) 530-7475
Mailing address
1223 EMERSON AVE, TEANECK, NJ 07666-2705
(201) 315-1209
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
221700000X
Art Therapist
—
NULL
221700000X
Art Therapist
—
—
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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