Individual
KAYLA LAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 HOPE RD, EATONTOWN, NJ 07724-1277
(732) 858-5432
Mailing address
1439 READ PL, LAKEWOOD, NJ 08701-5431
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07184900
NJ
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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