Individual
MS. LAURA A. CADDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.A.C.
Contact information
Practice address
912 KINDERKAMACK RD, RIVER EDGE, NJ 07661-2336
(917) 270-8430
Mailing address
111 BROAD AVE APT 2A, PALISADES PARK, NJ 07650-1464
(917) 270-8430
(917) 270-8430
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00404700
NJ
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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