Individual
THOR LAWLER MAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
30 MARGARET CT, FAIR LAWN, NJ 07410-4825
(732) 691-0604
Mailing address
30 MARGARET CT, FAIR LAWN, NJ 07410-4825
(732) 691-0604
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
NJ
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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