Individual
LAURIE MAVORAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MFT
Contact information
Practice address
360 HIGHLAND AVE, LONG BRANCH, NJ 07740-4645
(732) 895-7833
(732) 895-7833
Mailing address
360 HIGHLAND AVE, LONG BRANCH, NJ 07740
(732) 895-7833
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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