Individual
LISA H KNOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
15 W PROSPECT ST, SUITE 2, EAST BRUNSWICK, NJ 08816-2161
(732) 254-0600
(732) 254-8606
Mailing address
15 W PROSPECT ST, SUITE 2, EAST BRUNSWICK, NJ 08816-2161
(732) 254-0600
(732) 254-8606
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00102300
NJ
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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