Individual
MISS JILL STEPHANIE LASALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
770 WOODLANE RD # R9OAD, WESTAMPTON, NJ 08060-3804
(609) 267-5928
Mailing address
770 WOODLANE RD # R9OAD, WESTAMPTON, NJ 08060-3804
(609) 267-5928
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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