Individual
MRS. LAURIE LEE DEANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA EDS
Contact information
Practice address
2908 NOTTINGHAM WAY, MERCERVILLE, NJ 08619
(609) 977-3814
Mailing address
2908 NOTTINGHAM WAY, MERCERVILLE, NJ 08619
(609) 977-3814
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
37LC00132400
NJ
101Y00000X
Counselor
Primary
37PC00001300
NJ
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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