Individual
ANDREA BETH FILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
285 E MAIN ST, SOMERVILLE, NJ 08876-3005
(908) 707-0212
Mailing address
420 MOUNT LUCAS RD, PRINCETON, NJ 08540-1906
(856) 524-1508
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06362100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44SL06362100
LICENSED SOCIAL WORKER
NJ
Enumeration date
02/22/2018
Last updated
02/22/2018
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