Individual
MS. TA' LISA MARIE HUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
121 CHANLON RD, NEW PROVIDENCE, NJ 07974-1543
(973) 299-9954
Mailing address
60 W 8TH ST, BURLINGTON, NJ 08016-3237
(609) 251-7033
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06482000
—
1041S0200X
School Social Worker
443L06482000
NJ
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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