Individual
EGYPT HASLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 FAIRCHILD PL, HILLSIDE, NJ 07205-1002
(551) 329-8262
Mailing address
15 FAIRCHILD PL, HILLSIDE, NJ 07205-1002
(551) 329-8262
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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