Individual
MIA ROSE LAMAZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 GLENN AVE, EGG HARBOR TOWNSHIP, NJ 08234-6109
(609) 218-8664
Mailing address
207 BRADS CT, GALLOWAY, NJ 08205-9549
(609) 470-6032
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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