Individual
MAISHA LO-RAIN WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
227 BLOY ST FL 2, HILLSIDE, NJ 07205-2108
(908) 884-8128
Mailing address
227 BLOY ST FL 2, HILLSIDE, NJ 07205-2108
(908) 884-8128
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00658900
NJ
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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