Individual
MAGGIE L. LEWALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
143 ANDOVER PL, ROBBINSVILLE, NJ 08691-3416
(949) 307-0709
Mailing address
20 THORNTOWN LN, BORDENTOWN, NJ 08505-2212
(609) 731-0231
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NJ
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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