Individual
LAUREN BARDACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
390 MAIN RD, MONTVILLE, NJ 07045-9785
(973) 316-9333
Mailing address
2 CHANGEBRIDGE RD, SUITE 203, MONTVILLE, NJ 07045-8947
(973) 263-0683
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05978200
NJ
Other
Enumeration date
09/23/2014
Last updated
02/23/2015
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