Individual
MS. LISA A LAITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.ED
Contact information
Practice address
17 SENIOR ST, NEW BRUNSWICK, NJ 08901-8534
(732) 932-7884
(732) 932-8278
Mailing address
17 SENIOR ST, NEW BRUNSWICK, NJ 08901-8534
(732) 932-7884
(732) 932-8278
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00035400
NJ
Other
Enumeration date
12/04/2009
Last updated
12/04/2009
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