Individual
LUGENIA SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 EAKIN ST STE 4A, SALEM, NJ 08079-1704
(609) 665-1102
Mailing address
10530 IVY CLOSE RD, HUNTERSVILLE, NC 28078-5668
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00520300
NJ
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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