Individual
MALLORY LACORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1200 JUMPING BROOK RD, BUILDING 5, SUITE 2, NEPTUNE, NJ 07753-2634
(732) 643-4400
Mailing address
1200 JUMPING BROOK RD, BUILDING 5, SUITE 2, NEPTUNE, NJ 07753-2634
(732) 643-4400
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/19/2015
Last updated
01/19/2015
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