Individual
MELISSA TABITHA LASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 CEDAR GROVE DR, SICKLERVILLE, NJ 08081-5277
(609) 636-5172
Mailing address
61 CEDAR GROVE DR, SICKLERVILLE, NJ 08081-5277
(609) 636-5172
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NJ
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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