Individual
STEPHANE MYRTELE LAGUERRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
275 GREENBROOK RD, GREEN BROOK, NJ 08812-2223
(732) 968-6000
Mailing address
33 MOUNTAIN WAY, WEST ORANGE, NJ 07052-3737
(347) 276-4930
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
26NJ00706000
NJ
Other
Enumeration date
04/16/2017
Last updated
04/16/2017
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