Individual
MARLENE A LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BEHAVIORAL THERAPIST
Contact information
Practice address
67 SAXTON RD, FARMINGDALE, NJ 07727-4016
(732) 814-0675
Mailing address
67 SAXTON RD, FARMINGDALE, NJ 07727-4016
(732) 814-0675
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
103K00000X
NJ
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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