Individual
ALAN LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
113 VIRGINIA ST, HILLSIDE, NJ 07205-2867
(973) 609-4494
Mailing address
113 VIRGINIA ST, HILLSIDE, NJ 07205-2867
(973) 609-4494
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/07/2018
Last updated
06/25/2023
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