Individual
BROOKE LASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
890 MOUNTAIN AVE, NEW PROVIDENCE, NJ 07974-1218
(908) 277-8900
Mailing address
150 PARK AVE, FLORHAM PARK, NJ 07932-1049
(908) 277-8900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05670600
NJ
Other
Enumeration date
11/08/2013
Last updated
02/17/2020
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