Individual
MRS. LISA ANN SHORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
146 S LAKEVIEW DR, GIBBSBORO, NJ 08026-1018
(856) 433-8615
Mailing address
146 S LAKEVIEW DR, GIBBSBORO, NJ 08026-1018
(856) 433-8615
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00883000
NJ
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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