Individual
ILIANA CARR LAROSILIERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
584 BENSON ST, CAMDEN, NJ 08103-1324
(856) 669-4182
Mailing address
15 BELLISSIMO CT, SICKLERVILLE, NJ 08081-9687
(917) 751-0981
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06029800
NJ
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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