Individual
MRS. JILLIAN SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 NILES AVE, MADISON, NJ 07940-2310
(908) 858-0858
Mailing address
76 MARTIN VIEW RD, LAKE HOPATCONG, NJ 07849-2115
(973) 975-8718
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NJ
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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