Individual
MS. CARLY SCANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
200 ATLANTIC AVE STE R, MANASQUAN, NJ 08736-1352
(732) 292-4504
Mailing address
200 ATLANTIC AVE STE R, MANASQUAN, NJ 08736-1352
(732) 292-4504
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00607600
NJ
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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