Individual
JEAN LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 MORAN ST, NEWTON, NJ 07860-1832
(973) 862-6066
Mailing address
17 HAMILTON RD, NEWTON, NJ 07860-5448
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
NJ
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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