Individual
DR. MICHAEL C. LASALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., LCSW
Contact information
Practice address
8 S 3RD AVE, HIGHLAND PARK, NJ 08904-2510
(732) 246-8439
Mailing address
95 LAKE AVE, METUCHEN, NJ 08840-2656
(732) 910-9901
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
44SC05078800
NJ
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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