Individual
MS. PAULA SUSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
9 FULTON DR, MOUNT LAUREL, NJ 08054-4510
(856) 396-0900
(856) 396-0901
Mailing address
9 FULTON DR, MOUNT LAUREL, NJ 08054-4510
(856) 396-0900
(856) 396-0901
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
SC00066
NJ
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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