Individual
LAUREN ELIASEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
74 BRICK BLVD, BRICK, NJ 08723-7984
(856) 449-6154
Mailing address
762 LANCING RD, WEST DEPTFORD, NJ 08096-4020
(856) 449-6154
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01159700
NJ
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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