Individual
MS. SARA LARACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
127 UNION AVE, MIDDLESEX, NJ 08846-1039
(732) 893-2005
Mailing address
127 UNION AVE, MIDDLESEX, NJ 08846-1039
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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