Organization
DR LUGENIA SMALL NJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUGENIA SMALL (OWNER)
(609) 665-1102
Entity
Organization
Contact information
Practice address
4 EAKIN ST, SALEM, NJ 08079-1704
(609) 665-1102
Mailing address
2394 PENDLETON CT, AVON, OH 44011-2647
(609) 665-1102
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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