Individual
MRS. MARISA MICHELLE MASLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 LUPTON AVE, WOODBURY, NJ 08096-5901
(856) 332-4698
Mailing address
68 MAXIM DR, FORKED RIVER, NJ 08731-1459
(908) 910-4790
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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