Individual
MISS LOIS ANN HARTNACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAC, ATR-BC
Contact information
Practice address
100 VALLEY RD, SUITE 12, MONTCLAIR, NJ 07042
(732) 259-5641
(732) 906-0349
Mailing address
39 WICK DRIVE, FORDS, NJ 08863
(732) 634-2524
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/01/2010
Last updated
06/01/2010
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