Individual
MS. JOELLE FALAISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 PIERSON PL, GLEN RIDGE, NJ 07028-1226
(973) 932-0408
Mailing address
125 GLENRIDGE AVE UNIT 284, MONTCLAIR, NJ 07042-6812
(973) 932-0408
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
37PC00550100
NJ
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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